MEDICARE: NANCY A RAY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC4326	ME

General Provider Information

NPI Number	:	1598752016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY A RAY LCSW

Provider Business Mailing Address
First Line	:	39 HEMLOCK HVN
Second Line	:
City	:	HAMPTON
State	:	NH
Zip	:	03842-1725
Country	:	US
Telephone Number	:	304-923-8807
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 HEMLOCK HVN
Second Line	:
City	:	HAMPTON
State	:	NH
Zip	:	03842-1725
Country	:	US
Telephone Number	:	304-923-8807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	03/17/2018

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