Provider Demographics
NPI:1962008540
Name:BRAY, RASHANDA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:RASHANDA
Middle Name:
Last Name:BRAY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:881 E LAKE RD
Mailing Address - Street 2:
Mailing Address - City:GRACEY
Mailing Address - State:KY
Mailing Address - Zip Code:42232-9702
Mailing Address - Country:US
Mailing Address - Phone:585-360-8901
Mailing Address - Fax:
Practice Address - Street 1:1989 MADISON ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5067
Practice Address - Country:US
Practice Address - Phone:931-408-9909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker