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1720441017
RAYNE VENTIMIGLIA
BEDFORD, TX
NPI
1720441017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 53329)
Enumeration Date
2016-04-04
Last Update Date
2021-08-05
Business Address
RAYNE VENTIMIGLIA LCSW
1901 CENTRAL DR STE 812
BEDFORD, TX 76021-5858
Phone number: 817-874-8169
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Mailing Address
RAYNE VENTIMIGLIA LCSW
1611 PHEASANT LN
SOUTHLAKE, TX 76092-3436
Phone number: 817-874-8169
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