Whalio Doctors

NPI 1043218647

Lora K Gray, LCSW

Practitioner Clinical Social Worker Vincennes, IN

Practice location

Address
1901 Willow St, Vincennes, IN 47591-4277
Phone
(812) 885-2720
Fax
(812) 885-2723
Mailing address
515 Bayou St, Vincennes, IN 47591-1034

Registered specialties

Clinical Social Worker Primary
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 34004993A (IN)

Registry record

NPI
1043218647
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Jul 2005
Record last updated
31 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.