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Jody Ray

Peer Specialist in Sheridan, WY. Individual provider (NPI-1).

NPI number1710697958
StatusActive
Last updated in NPPESNov 29, 2022

Details

NPI
1710697958
Entity type
Individual (NPI-1)
Name
Jody Ray
Sex
Female
Sole proprietor
No
Enumeration date
Nov 29, 2022
Certification date
Nov 29, 2022
Last updated
Nov 29, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer SpecialistICPR-037WYYes

Practice location

1221 W 5th St
Sheridan, WY 82801-2701

Phone 307-674-4405

Mailing address

1221 W 5th St
Sheridan, WY 82801-2701

Phone 307-674-4405

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