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1194383018
KATERI PICARD RAY
HAYDEN, ID
NPI
1194383018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: ID LCSW-962)
Enumeration Date
2019-06-05
Last Update Date
2019-06-05
Business Address
Dr. KATERI PICARD RAY
1302 W STARLING AVE
HAYDEN, ID 83835-8851
Phone number: 208-640-8814
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Mailing Address
Dr. KATERI PICARD RAY
1302 W STARLING AVE
HAYDEN, ID 83835-8851
Phone number: 208-640-8814
Copy
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