Individual
BETTY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMP
Contact information
Practice address
304 SHAKE RAG RD, CLINTON, AR 72031-6619
(501) 745-6644
Mailing address
PO BOX 1589, BENTON, AR 72018-1589
(501) 315-3344
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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