Individual
CARRIE CORNWELL RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2013038573
MO
104100000X
Social Worker
Primary
9039
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
01
—
100098080C
SED WIAVER
KS
Enumeration date
12/20/2013
Last updated
01/31/2022
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