Kathryn D Ray, Pllc | |
113 W Liberty St Room 208 Charles Town WV 25414-1547 | |
(304) 707-6170 | |
Not Available |
Full Name | Kathryn D Ray, Pllc |
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Speciality | Social Worker - Clinical |
Location | 113 W Liberty St, Charles Town, West Virginia |
Authorized Official Name and Position | Kathryn D Ray (OWNER) |
Authorized Official Contact | 3047076170 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kathryn D Ray, Pllc 631 Cloverdale Rd. Charles Town WV 25414 Ph: (304) 707-6170 | Kathryn D Ray, Pllc 113 W Liberty St Room 208 Charles Town WV 25414-1547 Ph: (304) 707-6170 |
NPI Number | 1609325083 |
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Provider Enumeration Date | 09/27/2016 |
Last Update Date | 09/27/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609325083 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | DP00943913 (West Virginia) | Primary |
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