Individual
SPENCER T RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 ELK ST, RAPID CITY, SD 57701-7351
(605) 343-7262
Mailing address
3912 DORAL DR, RAPID CITY, SD 57702-5325
(605) 939-1084
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6419
SD
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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