Individual
MRS. TRACY RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1024 BADBURY LN, GRAND PRAIRIE, TX 75052-1829
(817) 690-2118
Mailing address
1024 BADBURY LN, GRAND PRAIRIE, TX 75052-1829
(817) 690-2118
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
54665
TX
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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