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1881844009
LARRY G RAY
BROOKHAVEN, MS
NPI
1881844009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MS C1141)
Enumeration Date
2008-09-24
Last Update Date
2019-12-20
Business Address
Mr. LARRY G RAY LCSW
115 N. CLEVELAND AVENUE
BROOKHAVEN, MS 39601-2713
Phone number: 601-835-3306
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Mailing Address
Mr. LARRY G RAY LCSW
115 N. CLEVELAND AVENUE
BROOKHAVEN, MS 39601-2713
Phone number: 601-835-3306
Copy
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