Provider Information for 1275038903
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RAYS OF LIGHT, LLC
Organization Subpart: NO
NPI: 1275038903
Last Updated: 2023-10-11
Certification Date: 2023-10-11
Certification Date: 2023-10-11
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1275038903 | ||||||||||||
| Enumeration Date | 2018-03-26 | ||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||
| Status | Active | ||||||||||||
| Authorized Official Information | Name: RAYLENE FRANKLIN LCSW, LAC Title: Owner Phone: 4065314450 | ||||||||||||
| Mailing Address | 160 BANJO HILL LN GREAT FALLS, MT 59404-6121 United States Phone: 406-531-4450 | Fax: | ||||||||||||
| Primary Practice Address | 160 BANJO HILL LN GREAT FALLS, MT 59404-6121 United States Phone: 406-531-4450 | Fax: | ||||||||||||
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