Shannon Maureen Gray, LMSW

NPI #1235344722 in Kuna, Idaho

Provider Information

NPI Number: 1235344722
Entity Type: Individual
Name: Shannon Maureen Gray, LMSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LMSW
Enumeration Date: May 10, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 190 W. MAIN ST.
City: Kuna
State: Idaho
ZIP Code: 83634
Phone: (208) 922-9001

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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