Individual
MRS. CARRIE J GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
125 E SOUTHERN AVE, MUSKEGON, MI 49442-5041
(231) 724-3699
(231) 724-3659
Mailing address
15004 ARBORWOOD DR, GRAND HAVEN, MI 49417-8847
(616) 850-9719
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6801087703
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG087703
BCBS
MI
Enumeration date
05/15/2007
Last updated
07/11/2007
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