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1710496781
MICHAEL RAY THRONEBERRY
FORT WORTH, TX
NPI
1710496781
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 40963)
Enumeration Date
2017-09-21
Last Update Date
2022-09-10
Business Address
MICHAEL RAY THRONEBERRY LCSW
1814 8TH AVE
FORT WORTH, TX 76110-1354
Phone number: 214-415-7093
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Mailing Address
MICHAEL RAY THRONEBERRY LCSW
4620 CLOUDVIEW RD
FORT WORTH, TX 76109-3326
Phone number: 214-415-7093
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