Individual
MS. HARVETTA K RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1426 S 28TH ST, LOUISVILLE, KY 40211-1729
(502) 500-9443
(502) 632-1432
Mailing address
1205 WINDMILL LN, JEFFERSONVILLE, IN 47130-7426
(502) 500-9443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
254846
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1041C0700X
TAXONOMY
KY
Enumeration date
07/14/2020
Last updated
07/14/2020
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