Individual
LEN RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
911 W MCKEVER LN, WASHOUGAL, WA 98671-7293
(503) 569-2329
Mailing address
911 W MCKEVER LN, WASHOUGAL, WA 98671-7293
(503) 569-2329
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3717
OR
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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