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Organization
VITRA COUNSELING ASSOCIATES, PLLC
Active
Organization
VITRA COUNSELING ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI ALISIA PERRY LCSW (MANAGER-MEMBER)
(214) 293-5294
Entity
Organization
Contact information
Practice address
2736 DENALI PARK DR, GRAND PRAIRIE, TX 75050-1309
(214) 293-5294
(972) 606-1044
Mailing address
2736 DENALI PARK DR, GRAND PRAIRIE, TX 75050-1309
(214) 293-5294
(972) 606-1044
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32738
TX
Other
Enumeration date
03/17/2011
Last updated
03/17/2011
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