Individual
MRS. ANNE GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2003 SE WALTON BLVD, BENTONVILLE, AR 72712-3725
(479) 464-8081
(479) 464-0674
Mailing address
4253 N CROSSOVER RD, FAYETTEVILLE, AR 72703-4593
(479) 521-5731
(479) 521-6520
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6561-C
AR
Other
Enumeration date
04/18/2007
Last updated
05/20/2016
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