Individual
MR. WRAY DOUGLAS STANDARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BCABA
Contact information
Practice address
4203 SOUTHPOINT BLVD, JACKSONVILLE, FL 32216-6164
(904) 296-1055
(904) 296-1953
Mailing address
4117 CASTLEBAY DR, JACKSONVILLE, FL 32257-8966
(904) 296-1055
(904) 296-1953
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
BCABA 0-01-0318
FL
Other
Enumeration date
03/14/2007
Last updated
07/09/2007
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