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1316351182
CHARLES RAY
KANSAS CITY, KS
NPI
1316351182
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: KS 037)
Enumeration Date
2014-06-19
Last Update Date
2014-06-19
Business Address
CHARLES RAY LAC
1024 HOEL PKWY
KANSAS CITY, KS 66102-4138
Phone number: 913-371-9668
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Mailing Address
CHARLES RAY LAC
130 E 5TH ST PO BOX 711
NEWTON, KS 67114-2206
Phone number: 316-283-6743
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