Larry Ray, LCSW

NPI 1881844009 · on the registry since 2008 · sole proprietor

Practice

Address: 115 N. Cleveland Avenue
Brookhaven, MS 39601
Phone: (601) 835-3306
Fax: (601) 835-3342
Organisation at this address: Anne A. Henderson, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2019-12-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi