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Individual

MRS. TRACI BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5505 GRISSOM RD STE 103, SAN ANTONIO, TX 78238-3024
(210) 680-4747
(210) 680-4775
Mailing address
70 S RIVER ST, AURORA, IL 60506-5185

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
203706
TX

Other

Enumeration date
05/01/2017
Last updated
11/07/2018
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