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Individual

LATAWNYA R GRAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2210 GOLDSMITH LN, LOUISVILLE, KY 40218-1038
(502) 379-7447
Mailing address
7435 AVALON SPRINGS DR, LOUISVILLE, KY 40228-2587

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
289668
KY

Other

Enumeration date
09/24/2025
Last updated
09/24/2025
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