Individual
STEPHANIE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
321 OSPREY CIR, HOPE, ID 83836-9626
(906) 458-5337
Mailing address
321 OSPREY CIR, HOPE, ID 83836-9626
(906) 458-5337
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
43385
ID
1041C0700X
Clinical Social Worker
62527
MT
Other
Enumeration date
04/17/2023
Last updated
04/17/2023
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