Larry G Ray, LCSW Valid NPI

Individual provider · Clinical Social Worker · Brookhaven, MS

NPI

1881844009

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

C1141 (MS)

Sex

Male

Sole proprietor

Yes

Enumerated

2008-09-24

Last updated

2019-12-20