Individual
KEANDRA LOURRAINE UPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1503 E STATE ST, EAGLE LAKE, TX 77434-2246
(979) 232-1024
Mailing address
1503 E STATE ST, EAGLE LAKE, TX 77434-2246
(979) 232-1024
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117670
TX
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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