Individual
MS. WENDY RENAE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLPC, LPC
Contact information
Practice address
3483 NE RALPH POWELL RD, LEES SUMMIT, MO 64064-2361
(816) 521-1717
Mailing address
704 SE SHAWN DR, BLUE SPRINGS, MO 64014-5123
(816) 935-6151
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
03936
KS
103TC1900X
Counseling Psychologist
Primary
2021027980
MO
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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