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Individual

IVORY RAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
208 E THOMAS ST, HAMMOND, LA 70401-3316
(985) 956-7823
Mailing address
1107 W. COLEMAN AVE, HAMMOND, LA 70403
(985) 222-4986

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
11/14/2017
Last updated
11/14/2017
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