Individual
ANGELYN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
100 N. D STREET, OFFICE # 208 THE MARIUS BUILDING,, LAKEVIEW, OR 97630-0000
(541) 417-1074
(541) 947-0138
Mailing address
PO BOX 1206, LAKEVIEW, OR 97630-0047
(541) 417-1074
(541) 947-0138
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2450
OR
Other
Enumeration date
01/25/2007
Last updated
10/31/2007
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