Individual
MRS. BARBARA M KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1016 MO PAC CIR, SUITE 202, AUSTIN, TX 78746-6862
(512) 306-8422
Mailing address
7912 SHANTIVANA TRL, AUSTIN, TX 78737-9031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
24748
TX
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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