Individual
MRS. MERCEDES RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
124 S JACKSON STE 412, MAGNOLIA, AR 71753-3539
(870) 901-3527
(870) 901-3539
Mailing address
124 S JACKSON STE 412, MAGNOLIA, AR 71753-3539
(870) 901-3527
(870) 901-3539
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
2036C
AR
1041C0700X
Clinical Social Worker
Primary
2036-C
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116378726
—
AR
Enumeration date
06/20/2006
Last updated
07/21/2022
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