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NPI Code Detail

MEDICARE: KRYSTEN MABRY LMSW

MEDICARE: KRYSTEN MABRY LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker113885TX

General Provider Information

NPI Number : 1164380101
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRYSTEN MABRY LMSW
Provider Business Mailing Address
First Line : PO BOX 632
Second Line :
City : LIVERPOOL
State : TX
Zip : 77577-0632
Country : US
Telephone Number : 832-304-9950
Fax Number :
Provider Business Practice Location Address
First Line : 2717 COMMERCIAL CENTER BLVD STE E200
Second Line :
City : KATY
State : TX
Zip : 77494-7823
Country : US
Telephone Number : 832-291-8363
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ KRYSTEN MABRY LMSW” Practice Location

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