Individual
LILLIE RAYBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1999 BRYAN ST STE 900, DALLAS, TX 75201-3140
(800) 516-0975
Mailing address
1999 BRYAN ST STE 900, DALLAS, TX 75201-3140
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/04/2024
Last updated
12/04/2024
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