Organization
GYPSY RAY LCSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GYPSY S RAY LCSW (OWNER)
(406) 880-0977
Entity
Organization
Contact information
Practice address
118 E 7TH ST STE 2D, ANACONDA, MT 59711-2913
(406) 880-0977
Mailing address
88 LAKESHORE DR, ANACONDA, MT 59711-9093
(406) 880-0977
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
06/11/2019
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