Individual
KIMBERLY DIANE GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1169 EASTERN PKWY, SUITE 1166, LOUISVILLE, KY 40217-1417
(502) 451-8262
Mailing address
1169 EASTERN PKWY, SUITE1166, LOUISVILLE, KY 40217-1417
(502) 451-8262
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
KY654
KY
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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