Individual
KIMBERLEE HOPE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11801 SOUTH FWY, BURLESON, TX 76028-7021
(254) 396-6884
Mailing address
1017 OLIVEWOOD LN, FORT WORTH, TX 76140-5474
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
69157
TX
Other
Enumeration date
11/22/2020
Last updated
11/22/2020
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