Individual
KELSEY LEE HARMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
630 W 34TH ST STE 3, AUSTIN, TX 78705-1232
(512) 212-4670
Mailing address
630 W 34TH ST STE 301, AUSTIN, TX 78705-1217
(512) 212-4670
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
106123
TX
Other
Enumeration date
11/13/2021
Last updated
11/13/2021
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