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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY LOUISE GRAY

Active

MARY LOUISE GRAY is a Child & Adolescent Psychiatric Nurse healthcare provider located in MARION, Illinois. NPI 1144417692 is currently active in the NPPES registry. Verify at CMS.

Child & Adolescent Psychiatric Nurse · MARION, IL

Registration Details

NPI Number
1144417692
Provider Type
Individual
Gender
Female
NPI Issued
Sep 28, 2007 (18.920745627247 yrs)
Last Updated
Mar 27, 2018
Licenses
041-142634 (IL)
041.142634 (IL)

Practice Information

Address
3111 WILLIAMSON COUNTY PKWY
MARION, IL, 629595235
Browse IL providers · Browse ZIP 62959
Phone
6189973647
Fax
6189699437
Primary Specialty
Child & Adolescent Psychiatric Nurse
163WP0808X
Additional Specialty
Registered Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.