Individual
KELLIE A MCLARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4200 S HULEN ST, FORT WORTH, TX 76109-4914
(817) 296-6053
Mailing address
4200 S HULEN ST STE 318, FORT WORTH, TX 76109-4910
(817) 296-6053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
19717
TX
Other
Enumeration date
08/21/2015
Last updated
08/21/2015
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