Individual
REBECCA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2012037148
MO
104100000X
Social Worker
8552
KS
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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