Individual
KEAIRRA HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3000 S HULEN ST STE 124-2042, FORT WORTH, TX 76109-1929
(817) 975-5623
Mailing address
21201 EMERALD MIST PKWY APT 328, SPRING, TX 77379-1538
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111560
TX
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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