Individual
CARAJEAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
9850 W ST LUKES DR STE 320, NAMPA, ID 83687-7912
(208) 505-2222
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
149.014900
IL
1041C0700X
Clinical Social Worker
CSW006049
GA
1041C0700X
Clinical Social Worker
Primary
LCSW-42761
ID
1041C0700X
Clinical Social Worker
—
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Other
Enumeration date
06/02/2015
Last updated
12/13/2022
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