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COREY E RAY-SUBRAMANIAN

Mental Retardation and Developmental Disabilities

Madison, Wisconsin

Provider NPI: 1437444270

Provider Information:
 COREY E RAY-SUBRAMANIAN 
Gender: F
Sole Proprietor


Practice Location:
559 ZOR SHRINE PL  MADISON, WI 53719 US
Tel: 608-833-1023  Fax: 608-833-0126

Business Mailing Address:
559 ZOR SHRINE PL  MADISON, WI 53719 US
Tel: 608-833-1023  Fax: 608-833-0126

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TM1800XBehavioral Health & Social Service Providers
Psychologist
Mental Retardation & Developmental Disabilities
WI2897-57









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