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1245616481
KELLY A MARTIN
FORT WORTH, TX
NPI
1245616481
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 66324)
Enumeration Date
2015-08-10
Last Update Date
2015-08-10
Business Address
-- KELLY A MARTIN M.A., LPC
8180 EAGLE MOUNTAIN CIR
FORT WORTH, TX 76135-9531
Phone number: 817-733-2670
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Mailing Address
-- KELLY A MARTIN M.A., LPC
8180 EAGLE MOUNTAIN CIR
FORT WORTH, TX 76135-9531
Phone number: 817-733-2670
Copy
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