Gray, Cornel S
Gray, Cornel S is an individual health care provider with primary practice located at 1402 Grand Ave , Washington IN 47501-2122. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gray, Cornel S can be contacted via phone (812) 254-8634.Contact Information
Primary practice address
1402 Grand Ave
Washington IN 47501-2122
Phone: (812) 254-8634
Fax: (812) 257-8609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34003788A | Indiana |
Profile Details
| NPI number | 1114000288 |
|---|---|
| LBN Legal business name | Gray, Cornel S |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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