Individual
MR. CHRISTIAN EVERETT GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 651-4345
Mailing address
402 S SILVER SPRINGS RD, CAPE GIRARDEAU, MO 63703-7536
(573) 334-1100
(573) 651-4345
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2023000902
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490090992
—
MO
Enumeration date
11/30/2020
Last updated
09/16/2024
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