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Individual

KELSEY RAE GRAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
1601 N KICKAPOO AVE STE 900, SHAWNEE, OK 74804-4313
(405) 585-6413
Mailing address
2007 N MINNESOTA AVE, SHAWNEE, OK 74804-3024
(405) 226-0644

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
10052
OK

Other

Enumeration date
10/11/2018
Last updated
08/29/2022
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