Individual
ABIGAIL MORIAH RAYDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, CDCA
Contact information
Practice address
2685 ARMSTRONG RD, WOOSTER, OH 44691-9041
(330) 345-7949
Mailing address
2685 ARMSTRONG RD, WOOSTER, OH 44691-9041
(330) 345-7949
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.170183
OH
104100000X
Social Worker
Primary
S.1904087
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0353401
—
OH
Enumeration date
06/11/2019
Last updated
09/22/2020
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