Individual
MR. GARY L DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
239 MT PARKWAY SPUR, CAMPTON, KY 41301-0309
(606) 688-6932
(606) 668-3125
Mailing address
3209 SOLUTIONS CTR, CHICAGO, IL 60677-0001
(502) 212-4759
(502) 471-2051
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY1429
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8200089400
—
KY
Enumeration date
08/30/2005
Last updated
07/08/2007
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