Individual
KIMBERLY S DEDECKER - JAMIESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NBC-HWC
Contact information
Practice address
1649 ROYAL OAKS CT, SOUTHLAKE, TX 76092-4049
(817) 995-6435
(817) 912-1310
Mailing address
1649 ROYAL OAKS CT, SOUTHLAKE, TX 76092-4049
(817) 995-6435
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3279539
TX
Other
Enumeration date
11/04/2021
Last updated
01/28/2024
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