STATEN MICHELLE MCKELLUM

ROCKWALL, TX
NPI1831917517
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106S00000X Behavior Technician
(Licence: TX  RBT-24-357400)
Enumeration Date2024-10-01
Last Update Date2024-10-01
Business Address
STATEN MICHELLE MCKELLUM
1100 KINGSTON CT
ROCKWALL, TX 75032-8233
Phone number: 469-458-9021
Mailing Address
STATEN MICHELLE MCKELLUM
911 N GOLIAD ST
ROCKWALL, TX 75087-2230
Phone number: 469-458-9021
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