Individual
CARRIE MARIE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
580 VIA DI PARIONE CT, HENDERSON, NV 89011-0811
(870) 723-2833
Mailing address
580 VIA DI PARIONE CT, HENDERSON, NV 89011-0811
(870) 723-2833
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6076
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275777310
—
LA
Enumeration date
04/20/2009
Last updated
03/29/2019
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