Individual
MR. MATTHEW RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
703 E 3RD ST, LELAND, MS 38756-2903
(662) 336-3301
Mailing address
703 E 3RD ST, LELAND, MS 38756-2903
(662) 336-3301
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
—
Other
Enumeration date
06/26/2019
Last updated
06/26/2019
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