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1386190858
KELLY MARIE GILLELAND
BASTROP, TX
NPI
1386190858
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 72661)
Enumeration Date
2016-08-25
Last Update Date
2022-05-04
Business Address
KELLY MARIE GILLELAND LPC
148 WAIPAHOEHOE DR
BASTROP, TX 78602-2035
Phone number: 512-718-1244
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Mailing Address
KELLY MARIE GILLELAND LPC
148 WAIPAHOEHOE DR
BASTROP, TX 78602-2035
Phone number: 512-718-1244
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