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Individual
MARILYN A RAY
Active
Individual
MARILYN A RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1032768
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306421
—
MA
05
—
1308785
—
MA
Enumeration date
03/12/2008
Last updated
03/12/2008
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