TYRONE L KELLEWOOD

SHIPROCK, NM
NPI1811123136
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  LH 60084686)
Enumeration Date2009-06-01
Last Update Date2021-05-19
Business Address
TYRONE L KELLEWOOD MHC
US HWY 491 NORTH
SHIPROCK, NM 87420
Phone number: 505-368-6001
Mailing Address
TYRONE L KELLEWOOD MHC
PO BOX 160
SHIPROCK, NM 87420-0160
Phone number: 505-368-6001