Individual
ALYSSA RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
802 LYDIA ST, AUSTIN, TX 78702-2623
(512) 829-8738
Mailing address
802 LYDIA ST, AUSTIN, TX 78702-2623
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
68519
TX
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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