Individual
JULIE KELLEY RAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
9730 HEALTHWAY DR, BERLIN, MD 21811-1154
(410) 629-0164
Mailing address
11233 BELL RD, WHALEYVILLE, MD 21872-2005
(410) 641-1295
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
13873
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
705371101
—
MD
Enumeration date
10/05/2006
Last updated
08/19/2009
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