Individual
CARLYE ANN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2916 ASTORIA WAY STE 150, EDMOND, OK 73034-6164
(405) 726-8966
Mailing address
525 LIBERTY LN, EDMOND, OK 73034-9046
(405) 726-8966
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
11/09/2022
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