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Individual

KELLIE GALLEGOS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
10330 LAKE RD STE R, HOUSTON, TX 77070-1886
(281) 547-8008
Mailing address
10330 LAKE RD STE R, HOUSTON, TX 77070-1886
(281) 547-8008

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
64052
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
394812701
TX
Enumeration date
09/11/2020
Last updated
08/12/2026
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