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Individual

MISS DYOMARITHZ RAQUEL MCCALLA-TRAVIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11510 HACKMATACK WAY, HOUSTON, TX 77066-1062
(832) 407-8555
Mailing address
11510 HACKMATACK WAY, HOUSTON, TX 77066-1062
(832) 407-8555

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
Primary
114552
TX
171M00000X
Case Manager/Care Coordinator

Other

Enumeration date
08/08/2023
Last updated
04/16/2025
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