Individual
VICTORIA JOHNSON GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1350 US HIGHWAY 62 W, PRINCETON, KY 42445-6106
(270) 365-2008
(270) 365-2009
Mailing address
1104 HOLLY LN, PRINCETON, KY 42445-2327
(260) 963-1805
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
256117
KY
Other
Enumeration date
03/07/2019
Last updated
07/18/2023
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