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1093164618
KELLY ANN THOMPSON
WACO, TX
NPI
1093164618
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Former Name
KELLY ANN CLINES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 51198)
Enumeration Date
2016-06-04
Last Update Date
2017-08-28
Business Address
-- KELLY ANN THOMPSON LCSW
7111 BOSQUE BLVD
WACO, TX 76710-4002
Phone number: 512-686-6012
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Mailing Address
-- KELLY ANN THOMPSON LCSW
512 W MLK JR BLVD # 148
AUSTIN, TX 78701-1231
Phone number: 512-686-6012
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