Individual
MRS. NAKIA DEONTRANISE KELLEY-HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
STA
Contact information
Practice address
9425 CHUPAROSA DR, FORT WORTH, TX 76177-7246
(256) 919-7464
Mailing address
9425 CHUPAROSA DR, FORT WORTH, TX 76177-7246
(256) 919-7464
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
42457
TX
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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