Organization
KATHRYN D RAY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN D RAY LICSW (OWNER)
(304) 707-6170
Entity
Organization
Contact information
Practice address
113 W LIBERTY ST, ROOM 208, CHARLES TOWN, WV 25414-1547
(304) 707-6170
Mailing address
631 CLOVERDALE RD., CHARLES TOWN, WV 25414
(304) 707-6170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
DP00943913
WV
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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