Individual
TRACI LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2606 STATE ST, DALLAS, TX 75204
(214) 552-5442
Mailing address
2606 STATE ST, DALLAS, TX 75204-2600
(214) 552-5442
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
5205
TX
Other
Enumeration date
07/28/2006
Last updated
08/09/2018
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