Individual
ASHLEY GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
805 HIGHWAY 589, PURVIS, MS 39475-4194
(601) 794-6543
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C9215
MS
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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