Individual
MARILYN A RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
76 SUMMER ST, FITCHBURG, MA 01420-5783
(978) 343-2433
(978) 343-0791
Mailing address
585 LINCOLN ST, WORCESTER, MA 01605-1906
(508) 831-0045
(508) 735-5051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1032768
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306421
—
MA
05
—
1308785
—
MA
Enumeration date
03/12/2008
Last updated
03/12/2008
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