Individual
MRS. LEIA R ADAMS-GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1017 HILLTOP DR, PALESTINE, TX 75801-5229
(682) 401-9827
(208) 322-1029
Mailing address
545 N BENJAMIN LN STE 185, BOISE, ID 83704-9625
(682) 401-9827
(208) 322-1029
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
43131
ID
104100000X
Social Worker
52215
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43131
IDAHO BOARD OF SOCIAL WORK EXAMINERS
ID
Enumeration date
01/10/2023
Last updated
02/06/2023
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