Individual
MRS. KELSEY MARIE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CRADC
Contact information
Practice address
805 N ORANGE ST, BUTLER, MO 64730-9382
(417) 448-9247
Mailing address
28590 S 1025 RD, BRONAUGH, MO 64728-7613
(816) 560-1077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2024031119
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2022028537
—
MO
Enumeration date
07/25/2022
Last updated
08/05/2024
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