Individual
SANDRA JEAN GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
500 MINTON HOLLOW RD, ELIZABETHTON, TN 37643-7906
(423) 202-1969
(423) 373-1308
Mailing address
PO BOX 1108, ELIZABETHTON, TN 37644-1108
(423) 202-1969
(423) 373-1308
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4554
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3699237
—
TN
Enumeration date
08/01/2006
Last updated
06/21/2022
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