Individual
MRS. TENNILE M RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 E 5TH AVE, NAPERVILLE, IL 60563-3177
(630) 579-8070
Mailing address
10113 S PROSPECT AVE, CHICAGO, IL 60643-2152
(773) 308-4675
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
208.000180
IL
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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