Male or Other

Mr. Douglas T. Gray LICSW

Clinical Social Worker in Yakima, WA(View on Map)

Full Name

Mr. Douglas Theodore Gray LICSW

NPI Number

1285631317

NPI Type

Individual Provider

Gender

Male

Enumeration Date

07/05/2005

Specialties

(Taxonomies)

Code

1041C0700X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

LW00005222

Contact
Information

Purpose

Mailing
Location

Address

PO BOX 10822
211 PARSONS AVE

City

Yakima
Yakima

State

WA
WA

Postal Code

98909-1822
98908-1734

Country

US
US

Telephone Number

(509) 966-2692
(509) 965-1179

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/11/2010

Provider Address

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