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Individual

MS. CAROL L RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CCC-SLP

Contact information

Practice address
4507 SUNNYSIDE AVE N, UNIT D, SEATTLE, WA 98103-6954
(206) 849-3937
Mailing address
3421 30TH AVE W, SEATTLE, WA 98199-2735
(206) 282-5839

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002837
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3646RA
REGENCE RIDER NUMBER
WA
01
6466RA
REGENCE RIDER NUMBER
WA
Enumeration date
04/16/2007
Last updated
07/08/2007
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