Individual
MRS. BLANCA E AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4500 S LANCASTER RD, MENTAL HEALTH SUITE - MAIL CODE116A, DALLAS, TX 75216-7167
(214) 857-3220
Mailing address
4500 S LANCASTER RD, MENTAL HEALTH SUITE - MAIL CODE116A, DALLAS, TX 75216-7167
(214) 857-3220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
51770
TX
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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