Individual
LYDIA SUZANNE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
9550 US HIGHWAY 19 STE 202, PORT RICHEY, FL 34668-4648
(727) 494-7609
Mailing address
9550 US HIGHWAY 19 STE 202, PORT RICHEY, FL 34668-4648
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
FL
Other
Enumeration date
11/02/2017
Last updated
05/26/2020
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