Individual
JEREMIAH GREGORY RAYMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3505
(316) 759-5095
Mailing address
57950 LEAVENWORTH ST, MCCONNELL AFB, KS 67221-3505
(316) 759-5095
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
134998
AK
Other
Enumeration date
09/15/2014
Last updated
08/10/2022
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