Individual
DOROTHY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2620 CENTENARY BLVD STE 312, SHREVEPORT, LA 71104
(318) 681-9935
(318) 681-9938
Mailing address
1223 WINDHAM CT, BOSSIER CITY, LA 71112-3197
(318) 681-9935
(318) 681-9938
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/20/2017
Last updated
03/14/2019
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