Individual
KATHY GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 E MAIN ST STE 24, PHILADELPHIA, MS 39350-2300
(601) 781-8677
Mailing address
1120 E MAIN ST, SUITE 24, PHILADELPHIA, MS 39350
(601) 781-8677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/16/2009
Last updated
07/21/2022
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