Individual
MRS. JAMIE DENISE KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3117 LUXAR WAY, DALLAS, TX 75233-1636
(214) 676-2915
(214) 821-6505
Mailing address
3117 LUXAR WAY, DALLAS, TX 75233-1636
(214) 676-2915
(214) 821-6505
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/24/2009
Last updated
04/24/2009
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