Individual
KELLY MARIE CHERRYHOMES COX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCLS
Contact information
Practice address
6512 ROCKROSE TRL, FORT WORTH, TX 76123-1572
(817) 504-0657
Mailing address
6512 ROCKROSE TRL, FORT WORTH, TX 76123-1572
(817) 504-0657
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
23670
TX
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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