SearchMississippi225XP0200X

Shaunde Gray, MHA, COTA, LIA

NPI 1437866811 · on the registry since 2022 · sole proprietor

Practice

Address
197 Ira Rd
Mound Bayou, MS 38762
Phone
(713) 569-5269

Registry record

Primary taxonomy
225XP0200X
225XP0200X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-11-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi