Individual
MISS KIPP ASHBY HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC INTERN
Contact information
Practice address
4701 SAMUELL BLVD, DALLAS, TX 75228-6828
(214) 381-7070
Mailing address
2101 LAVACA TRL, CARROLLTON, TX 75010-4131
(972) 394-8578
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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