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1609183094
KELLY LYNN CHEATHAM
SOUTHLAKE, TX
NPI
1609183094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX 65475)
Enumeration Date
2010-09-07
Last Update Date
2025-01-03
Business Address
Dr. KELLY LYNN CHEATHAM PhD, LPC-S
2535 E SOUTHLAKE BLVD STE 220
SOUTHLAKE, TX 76092-6629
Phone number: 817-228-1668
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Mailing Address
Dr. KELLY LYNN CHEATHAM PhD, LPC-S
2535 E SOUTHLAKE BLVD STE 220
SOUTHLAKE, TX 76092-6629
Phone number: 817-228-1668
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