Gray, Gary Charles

Gray, Gary Charles is an sole proprietor health care provider with primary practice located at 1681 N Starr Dr , Fayetteville AR 72701-2936. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Gray, Gary Charles can be contacted via phone (479) 442-4958.

Contact Information

Primary practice address
1681 N Starr Dr Fayetteville AR 72701-2936
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X C486 Arkansas

Profile Details

NPI number 1861422495
LBN Legal business name Gray, Gary Charles
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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