Miranda Kelly
Miranda Kelly is a Clinical Social Worker in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2016.
- Licensed in
- TX
- In the registry since
- 2016
Practice location Address checks out
1518 E Lancaster AveFort Worth, TX 76102-6774
Phone: (817) 255-7150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 56207 (TX) |
|---|
Record details
| NPI number | 1992255129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 12, 2016 |
| Last updated in NPPES | October 12, 2016 |
| Mailing address | 1518 E Lancaster Ave, Fort Worth, TX 76102-6774 |
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