Individual
KELLY SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E CENTRAL TEXAS EXPY, SUITE 645, HARKER HEIGHTS, TX 76548-1887
(254) 415-4850
Mailing address
1356 AMAZON DR, JUSTIN, TX 76247-5751
(817) 726-0906
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
38070
TX
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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