SearchTexas1041C0700X

Glenn Gray, LCSW

NPI 1992938146 · on the registry since 2009 · sole proprietor

Practice

Address
539 Hc 2122 W
Aquilla, TX 76622
Phone
(254) 205-0993

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-09-03

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 Texas