MIRANDA KELLY

FORT WORTH, TX
NPI1992255129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: TX  56207)
Enumeration Date2016-10-12
Last Update Date2016-10-12
Business Address
-- MIRANDA KELLY
1518 E LANCASTER AVE
FORT WORTH, TX 76102-6774
Phone number: 817-255-7150
Mailing Address
-- MIRANDA KELLY
1518 E LANCASTER AVE
FORT WORTH, TX 76102-6774
Phone number:
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