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1033870662
KELLY MANUEL BASTROP COUNSELING, PLLC
BASTROP, TX
NPI
1033870662
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Entity Type
Organization
Authorized Contact
KELLY A MANUEL
Governing Authority
512-985-7104
Organization Subpart ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
Enumeration Date
2022-01-05
Last Update Date
2022-01-08
Business Address
KELLY MANUEL BASTROP COUNSELING, PLLC
111 N HASLER BLVD STE 219
BASTROP, TX 78602-3984
Phone number: 512-985-7104
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Mailing Address
KELLY MANUEL BASTROP COUNSELING, PLLC
157 LISA LN UNIT B
BASTROP, TX 78602-5782
Phone number: 512-985-7104
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