Individual
MRS. KIMBERLY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2607 CADDO ST, SUITE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
(870) 230-8201
Mailing address
2607 CADDO ST, SUITE 6, ARKADELPHIA, AR 71923-5307
(870) 230-8217
(870) 230-8201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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