| Doctor Name: | MS. CAROLE J GRAY |
| NPI Number: | 1073540068 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LSCSW AAPS KCGC |
| License Number: | 2004 |
| Business Practice Address: | 5815 Broadway Great Bend, KS - 67530 |
| Business Phone Number: | 6207922544 |
| Business Fax Number: | 6207927052 |
| Mailing Address: | 5815 Broadway, GREAT BEND |
| State: | KS |
| Postal Code: | 67530 |
| Phone Number: | 6207922544 |
| Fax Number: | 6207927052 |
| NPI Enumeration Date: | 06/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 2004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |