# JOHANNA R RAYMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1619107109
- **Gender:** F
- **Credential:** LCSW, GCFP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | L3843 | OR | Yes |
| 174400000X | Specialist | 3575 | OR | — |

## Other

- **Enumeration date:** 07/20/2009
- **Last updated:** 10/28/2024