Individual
KAYLA LEEANN RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
1017 DUPONT RD, LOUISVILLE, KY 40207
(502) 365-4467
Mailing address
6101 ORVILLE DR, LOUISVILLE, KY 40213-3249
(270) 792-2636
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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