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Contact Information

RAY D CONLEY, LSW , LCAC
909 E STATE BLVD
FORT WAYNE, IN46805-3404
 Phone: 260-481-2700
 Fax: 260-481-2838
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for RAY D CONLEY · (Male)

NPI Number 1891062725
Status Active
Credentials LSW , LCAC
Entity Individual
Enumeration date 11/21/2011
Last updated 02/06/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 33000992A
  • IN License # 87000955A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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