Individual
CONSTANCE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
919 2ND ST NE, CANTON, OH 44704-1132
(330) 588-2636
(330) 452-7509
Mailing address
5254 BURLAWN ST NW, CANTON, OH 44708-3366
(330) 588-2636
(330) 452-7509
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
198722
OH
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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