Individual
MELISSA J GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1832 BLUEBALL CHURCH RD, ELIZABETHTOWN, KY 42701-5741
(270) 272-2102
Mailing address
1832 BLUEBALL CHURCH RD, ELIZABETHTOWN, KY 42701-5741
(270) 272-2102
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
05/30/2024
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