Provider Information for 1679803449
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Mrs. DOROTHY ANN RAY NCC, LPC
Sex: Female
NPI: 1679803449
Last Updated: 2023-03-29
Certification Date: 2023-03-29
Certification Date: 2023-03-29
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1679803449 | ||||||||||||
| Enumeration Date | 2009-12-30 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 308 N GRAY ST KILLEEN, TX 76541-5245 United States Phone: 254-432-4338 | Fax:254-432-4297 | ||||||||||||
| Primary Practice Address | 1711 E CENTRAL TEXAS EXPY STE 300D KILLEEN, TX 76541-9147 United States Phone: 254-432-4338 | Fax:254-432-4297 | ||||||||||||
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