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1821200148
KELLY SMITH
WHITEHOUSE, TX
NPI
1821200148
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 9777)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Prof. KELLY SMITH LPC
108 LEAMINGTON SPA
WHITEHOUSE, TX 75791
Phone number: 903-657-0790
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Mailing Address
Prof. KELLY SMITH LPC
PO BOX 131533
TYLER, TX 75713-1533
Phone number: 903-657-0790
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