Individual
MR. O. DANEL LOUIS GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, DCSW
Contact information
Practice address
915 N GRAND BLVD, SOCIAL WORK DIVISION, SAINT LOUIS, MO 63106-1621
(314) 652-4100
(314) 289-6597
Mailing address
5801 SIR EDWARD LN, FLORISSANT, MO 63033-7846
(314) 741-5971
(314) 741-5971
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
002054
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002054
CLINICAL SOCIAL WORK LICE
MO
Enumeration date
09/26/2006
Last updated
07/08/2007
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