Individual
MRS. CIERA DANIELL RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
210 VINE STREET, BANGS, TX 76823
(325) 642-5266
Mailing address
PO BOX 146, BANGS, TX 76823-0146
(325) 642-5266
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
60014
TX
Other
Enumeration date
07/14/2017
Last updated
07/14/2017
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