Individual
MAISIE GRACE RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6115 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5512
(817) 968-1905
(817) 612-3371
Mailing address
6115 CAMP BOWIE BLVD STE 298, FORT WORTH, TX 76116-5508
(817) 968-1905
(817) 612-3371
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
204731
TX
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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