Individual
KRISTEN L RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 10TH ST STE 211, WOODWARD, OK 73801-3156
(580) 256-8615
Mailing address
1518 9TH ST, WOODWARD, OK 73801-4608
(580) 571-4246
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
08/22/2017
Last updated
03/04/2019
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