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1588255012
TRACE KELLY
KINGWOOD, TX
NPI
1588255012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: TX RBT-15-01341)
Enumeration Date
2021-01-28
Last Update Date
2021-01-28
Business Address
TRACE KELLY
611 ROCKMEAD DR STE 100
KINGWOOD, TX 77339-2294
Phone number: 281-713-8980
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Mailing Address
TRACE KELLY
19836 TURNER RD
NEW CANEY, TX 77357-4135
Phone number: 281-713-0025
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