Individual
SANDRA GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMPHP
Contact information
Practice address
212 E 1ST ST, MC COOK, NE 69001-3712
(308) 345-4884
Mailing address
212 E 1ST ST, MC COOK, NE 69001-3712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11141
NE
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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