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1396401212
KELLY MANUEL
BASTROP, TX
NPI
1396401212
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Former Name
KELLY A MANUEL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 67396)
Enumeration Date
2021-11-15
Last Update Date
2022-03-31
Business Address
Ms. KELLY MANUEL LCSW
111 N HASLER BLVD STE 219
BASTROP, TX 78602-3984
Phone number: 512-743-9573
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Mailing Address
Ms. KELLY MANUEL LCSW
157 LISA LN UNIT B
BASTROP, TX 78602-5782
Phone number: 512-743-9583
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