Individual
COREY MICHAEL GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLMHP
Contact information
Practice address
610 J ST STE 300, LINCOLN, NE 68508-2967
(402) 433-3473
Mailing address
610 J ST STE 300, LINCOLN, NE 68508-2967
(402) 433-3473
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
12605
NE
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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