Individual
KELLIE GALLEGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
13715 OFFICE PARK DR, HOUSTON, TX 77070-2892
(832) 756-2749
(859) 201-1151
Mailing address
13715 OFFICE PARK DR, HOUSTON, TX 77070-2892
(832) 756-2749
(859) 201-1151
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
12/23/2021
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