Individual
SHIRLEY KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 N ROBISON RD, TEXARKANA, TX 75501-4103
(903) 832-2860
(903) 832-2870
Mailing address
1125 N ROBISON RD, TEXARKANA, TX 75501-4103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64202
TX
Other
Enumeration date
07/08/2010
Last updated
06/11/2024
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