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Individual
RAYBURN MARC STRANGE
Active
Individual
RAYBURN MARC STRANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LCAS, CSI
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2107
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2107
LPC
NC
01
—
608
LCAS
NC
Enumeration date
08/30/2006
Last updated
10/30/2007
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