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1245474873
KELLY CHISHOLM
LUBBOCK, TX
NPI
1245474873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: TX 33414)
Enumeration Date
2009-04-27
Last Update Date
2009-04-27
Business Address
-- KELLY CHISHOLM
2402 CANYON LAKE DR
LUBBOCK, TX 79415-2000
Phone number: 806-762-5782
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Mailing Address
-- KELLY CHISHOLM
2402 CANYON LAKE DR
LUBBOCK, TX 79415-2000
Phone number:
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