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1992177968
KELLY STANLEY
WACO, TX
NPI
1992177968
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TX 56866)
Enumeration Date
2015-10-29
Last Update Date
2021-02-12
Business Address
KELLY STANLEY LCSW
1911 N MARTIN LUTHER KING JR BLVD
WACO, TX 76704-1438
Phone number: 254-313-5000
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Mailing Address
KELLY STANLEY LCSW
1600 PROVIDENCE DR
WACO, TX 76707-2261
Phone number: 254-313-4200
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