Individual
DIANA M RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
527 CROCKER ST, LOS ANGELES, CA 90013-2116
(213) 488-9559
(213) 683-0969
Mailing address
3100 RIVERSIDE DR APT 429, LOS ANGELES, CA 90027-1483
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
ASW22327
CA
Other
Enumeration date
09/19/2007
Last updated
04/17/2008
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