Individual
KELLY DENISE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. L.P.C.
Contact information
Practice address
3200 SOUTHERN DR STE 100, GARLAND, TX 75043-1549
(972) 271-4300
Mailing address
721 TORREY PINES LN, GARLAND, TX 75044-4113
(214) 679-8346
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
70038
TX
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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