Individual
MRS. SAMANTHA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
4488 ROSLIN RD, NEWBURGH, IN 47630-8590
(812) 858-7200
Mailing address
4488 ROSLIN RD, NEWBURGH, IN 47630-8590
(812) 858-7200
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
33008302A
IN
Other
Enumeration date
07/02/2018
Last updated
10/18/2020
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