Individual
MR. GARY ALAN MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
62226 COUNTY ROAD 15, GOSHEN, IN 46526-9438
(574) 875-5117
Mailing address
62226 COUNTY ROAD 15, GOSHEN, IN 46526-9438
(574) 875-5117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
07/21/2022
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