Individual
KELLY BEVERLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7679 COURTNEY OAKS DR APT 2088, FORT WORTH, TX 76112-4628
(682) 287-4353
Mailing address
7679 COURTNEY OAKS DR APT 2088, FORT WORTH, TX 76112-4628
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
—
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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