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MRS. MARY LOU BRAY LISW-S

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1891029542

Individual Registrant:
MRS. MARY LOU  BRAY LISW-S
Gender: F
Not Sole Proprietor

Location and contact information for practice:
3200 VINE ST  CINCINNATI, OH 45220-2213 US
Tel: 513-861-3100  Fax: --

Contact information for business:
3200 VINE ST  CINCINNATI, OH 45220-2213 US
Tel: 513-861-3100  Fax: --

Registration Information:
NPI: 1891029542
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
OHI.0800031-SUPV

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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