KELLY MARIE RUNK

LONGVIEW, TX
NPI1215504584
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  14164)
Enumeration Date2021-06-07
Last Update Date2021-06-07
Business Address
KELLY MARIE RUNK LCDC
950 N 4TH ST
LONGVIEW, TX 75601-5436
Phone number: 903-758-2471
Mailing Address
KELLY MARIE RUNK LCDC
107 WOODBINE PL
LONGVIEW, TX 75601-2912
Phone number: 903-758-2471
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