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Laurence Burton Gray JR.
Mental Health Counselor in Moore, Oklahoma
NPI 1093182339

Laurence Burton Gray JR. is a Mental Health Counselor based in Moore, OK and is specialized in Mental Health. Laurence Burton Gray JR. practices in Moore, OK. The NPI Number for Laurence Burton Gray JR. is 1093182339 and holds a License No. (Oklahoma).

The current practice location address for Laurence Burton Gray JR. is 400 N Broadway St, Moore, OK and can be reached out via phone at 405-735-4650.

Location: 400 N Broadway St, Moore, OK, 73160-4812
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1093182339
Provider Name
Laurence Burton Gray JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
400 N Broadway St, Moore, OK, 73160-4812
Phone Number
405-735-4650
Fax Number
Provider Enumeration Date
08/21/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83-0419474 01 OK OKLAHOMA FAMILY COUNSELING
institution
Provider Business Practice Location Address Details
Address
400 N Broadway St
City
Moore
State
Oklahoma
Zip
73160-4812
Phone Number
405-735-4650
Fax Number
person
Provider Business Mailing Address Details
Address
400 N Broadway St
City
Moore
State
Oklahoma
Zip
73160-4812
Phone Number
405-735-4650
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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