Individual
MS. DEIDERE RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
PO BOX 845, FORT LAUDERDALE, FL 33302-0845
(954) 607-7781
Mailing address
PO BOX 845, FORT LAUDERDALE, FL 33302-0845
(954) 607-7781
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW21841
FL
Other
Enumeration date
09/20/2023
Last updated
03/28/2025
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