Wray, Marilyn

Wray, Marilyn is an sole proprietor health care provider with primary practice located at 1914 Colvin Blvd , Tonawanda NY 14150-6973. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wray, Marilyn can be contacted via phone (716) 510-7644.

Contact Information

Primary practice address
1914 Colvin Blvd Tonawanda NY 14150-6973
Fax: (716) 875-4138
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 018820 New York

Profile Details

NPI number 1174547004
LBN Legal business name Wray, Marilyn
Credentials LCSW-R
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Apr 9th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174547004 NPPES
New York Other 6208289 INDEPENDENT HEALTH
New York Other 7482648 INDEPENDENT HEALTH
New York Other 000524117007 INDEPENDENT HEALTH
New York Other 00053094001 INDEPENDENT HEALTH

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