Individual
MR. DOUGLAS THEODORE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
211 PARSONS AVE, YAKIMA, WA 98908-1734
(509) 965-1179
(509) 965-1179
Mailing address
PO BOX 10822, YAKIMA, WA 98909-1822
(509) 966-2692
(509) 965-1179
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00005222
WA
Other
Enumeration date
07/05/2005
Last updated
02/11/2010
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