Individual
BLANCHE KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9434 VISCOUNT BLVD, SUITE 102, EL PASO, TX 79925-7057
(915) 778-5678
Mailing address
1956 GUS MORAN ST, EL PASO, TX 79936-4035
(915) 778-5678
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14524
TX
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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