Individual
MS. ELLE VICTORIA-GRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
301 SALE BARN ROAD, MCLAUGHLIN, SD 57642-0519
(605) 823-4574
(605) 823-4575
Mailing address
PO BOX 519, MC LAUGHLIN, SD 57642-0519
(605) 823-4574
(605) 823-4575
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007984
IA
Other
Enumeration date
01/19/2012
Last updated
03/04/2015
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