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Individual

KATHRYN J RALEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
211 LUCERNE DR, LAFAYETTE, CO 80026-1823
(720) 515-8796
Mailing address
211 LUCERNE DR, LAFAYETTE, CO 80026-1823

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist
103TP2701X
Group Psychotherapy Psychologist

Other

Enumeration date
05/21/2012
Last updated
08/29/2019
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