Individual
AMELIA LEE KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
608 E HICKORY ST STE 128, DENTON, TX 76205-4311
(940) 222-8556
Mailing address
24 MAIZE DR, SOMERSWORTH, NH 03878-1746
(603) 781-6556
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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