Gray, Keith Robert

Gray, Keith Robert is an individual health care provider with primary practice located at 10437 Innovation Drive. Ste 309, Wauwatosa WI 53226. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Gray, Keith Robert can be contacted via phone (414) 454-0161.

Contact Information

Primary practice address
10437 Innovation Drive. Ste 309 Wauwatosa WI 53226
Phone: (414) 454-0161
Fax: (414) 454-0162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 7295-123 Wisconsin

Profile Details

NPI number 1477520518
LBN Legal business name Gray, Keith Robert
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2006
Last updated Mar 20th, 2015 - about 11 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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