Individual
MS. TRAYCEEA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1106 LINCOLN AVE, CLEVELAND, MS 38732-4006
(662) 588-0025
Mailing address
1106 LINCOLN AVE, CLEVELAND, MS 38732-4006
(662) 588-0025
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/30/2017
Last updated
09/14/2019
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