Individual
KELLY M RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1253 PARIS RD STE A, MAYFIELD, KY 42066-4989
(270) 247-2455
Mailing address
1532 LONE OAK RD STE 345, PADUCAH, KY 42003-7942
(270) 444-2250
(270) 538-6596
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
253236
KY
Other
Enumeration date
09/21/2018
Last updated
12/15/2022
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