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

MR. GLENN EDWARD GRAY JR., LCSW

Active Sole Proprietor

MR. GLENN EDWARD GRAY JR., LCSW is a Clinical Social Worker healthcare provider located in AQUILLA, Texas. NPI 1992938146 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · AQUILLA, TX

Registration Details

NPI Number
1992938146
Provider Type
Individual
Gender
Male
NPI Issued
Sep 3, 2009 (16.928844526735 yrs)
Last Updated
Sep 3, 2009
License
11478 (TX)
Sole Proprietor
Yes

Practice Information

Address
539 HC 2122 W
AQUILLA, TX, 766222495
Browse TX providers · Browse ZIP 76622
Phone
2542050993
Primary Specialty
Clinical Social Worker
1041C0700X
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.