Individual
KAITLYN GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
15 TREECREST CT, FENTON, MO 63026-3131
(618) 660-4010
Mailing address
902 W MAIN ST, WEST FRANKFORT, IL 62896-2210
(618) 937-6483
(618) 937-1440
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022067
IL
Other
Enumeration date
01/09/2020
Last updated
07/24/2025
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