Individual
KELLIE MATHIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10917 EASTWOOD DR, CORPUS CHRISTI, TX 78410-2832
(361) 945-3425
Mailing address
10917 EASTWOOD DR, CORPUS CHRISTI, TX 78410-2832
(361) 945-3425
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
611334
TX
Other
Enumeration date
08/20/2016
Last updated
08/20/2016
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