Individual
STACEY LYNN BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
5910 CLARK ROAD, SUITES H & I, PARADISE, CA 95969
(530) 872-6325
(530) 872-5970
Mailing address
8466 SKYWAY, PARADISE, CA 95969
(530) 872-5979
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
07/08/2007
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