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1013742022
KELLY GRACE
LUBBOCK, TX
NPI
1013742022
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 62409)
Enumeration Date
2024-09-09
Last Update Date
2024-09-09
Business Address
KELLY GRACE LCSW
5007 92ND ST
LUBBOCK, TX 79424-4803
Phone number: 856-857-5002
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Mailing Address
KELLY GRACE LCSW
5007 92ND ST
LUBBOCK, TX 79424-4803
Phone number:
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