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General NPI Number Information
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NPI Number | 1194003590
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Entity Type | Organization
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Legal Business Name | INEZ KATHLEEN RAY-ANNIS, MSW, P.S., INC.
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Dates
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Enumeration Date | 08/02/2011
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Last Update Date | 07/18/2018
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Provider Practice Location Address
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Address Line | 9330 NE VANCOUVER MALL DRIVE SUITE 203
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City | VANCOUVER
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State | WA
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Zip | 98662
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Country | US
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Telephone | 360-690-6550
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Fax | 360-253-6424
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Provider Business Mailing Address
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Address Line | 9330 NE VANCOUVER MALL DRIVE SUITE 203
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City | VANCOUVER
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State | WA
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Zip | 98662
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Country | US
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Telephone | 360-690-6550
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Fax | 360-253-6424
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Authorized Official
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Title or Position | PRESIDENT
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Name | INEZ KATHLEEN RAY-ANNIS
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Credential | LICSW
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Telephone | 360-690-6550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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