Individual
LISA KAY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
LMSW
Contact information
Practice address
13963 PURPLE SAGE RD, CALDWELL, ID 83607-7669
(208) 600-7286
Mailing address
1364 S EDGEWATER CIR STE 101, NAMPA, ID 83686-2982
(208) 600-7286
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
9571751
ID
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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