Individual
SHELIA YVONNE MCKINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4623 MILLER AVE STE B, FORT WORTH, TX 76119-5064
(817) 988-7602
(817) 413-5572
Mailing address
PO BOX 24446, FORT WORTH, TX 76124-1446
(817) 988-7602
(817) 413-5572
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
TX
253J00000X
Foster Care Agency
Primary
—
TX
Other
Enumeration date
03/26/2014
Last updated
03/26/2014
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