Individual
MRS. GYPSY S RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
118 E 7TH ST STE 2D, ANACONDA, MT 59711-2913
(406) 880-0977
Mailing address
88 LAKESHORE DR, ANACONDA, MT 59711-9093
(406) 880-0977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1013-LCSW
MT
1041C0700X
Clinical Social Worker
Primary
BBH-LCSW-LIC-1013
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0517990
—
MT
Enumeration date
09/20/2011
Last updated
03/12/2019
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