Individual
AMY C GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
407 S CLAIRBORNE RD STE 104, OLATHE, KS 66062-1744
(913) 730-3661
(913) 768-1944
Mailing address
405 S CLAIRBORNE RD STE 2, OLATHE, KS 66062-1774
(913) 730-3661
(913) 768-1944
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
9411
KS
1041C0700X
Clinical Social Worker
Primary
5073
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201164920
—
KS
Enumeration date
08/08/2017
Last updated
02/17/2020
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