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1205248150
THERESA KELLAM, PH.D.
FORT WORTH, TX
NPI
1205248150
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Entity Type
Organization
Authorized Contact
THERESA KELLAM
Owner/Psychologist
817-313-7899
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: TX 32518)
Enumeration Date
2014-05-27
Last Update Date
2014-05-27
Business Address
THERESA KELLAM, PH.D.
2201 DOTTIE LYNN PKWY SUITE 127
FORT WORTH, TX 76120-4432
Phone number: 817-313-7899
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Mailing Address
THERESA KELLAM, PH.D.
2201 DOTTIE LYNN PKWY SUITE 127
FORT WORTH, TX 76120-4432
Phone number: 817-313-7899
Copy
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