-- SHANNON MAUREEN GRAY -- LMSW
Individual Provider (NPI-1)
Active
Social Worker
Provider Information
- NPI Number
1235344722- Provider Type
- Individual Provider (NPI-1)
- Credentials
- LMSW
- Status
- Active
Contact & Location
- Address
- 190 W. MAIN ST., KUNA, ID, 83634
- Phone
- (208) 922-9001
- Fax
- (208) 922-3778
Specialties & Taxonomies
Social Worker
Primary License: ID #LMSW-24699