MICHELLE KANDALAFT, PHD, PLLC
Social Work at 15 St, Plano, TX

License number
Texas 34994
Category
Social Work
Type
Clinical
Owner
Name: DR. MICHELLE KANDALAFT PHD
Title: SINGLE MANAGING MEMBER
Phone: (214) 213-2439
Address
Address
4100 W 15Th St STE. 204, Plano, TX 75093
National Provider ID: 1497024525
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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MICHELLE KANDALAFT, PHD, PLLC

4100 W 15 St STE 204, Plano, TX 75093

Doing business as:
Michelle Kandalaft
Registration:
Dec 14, 2011
Phone:
(972) 985-1100 (Phone)
State ID:
0801519723
PRESIDENT:
Michelle R Kandalaft (PRESIDENT), 4100 W 15 St 204, Plano, TX 75093
Agent:
Michelle Rima Kandalaft,4100 W 15 St SUITE 204, Plano, TX 75093 (Physical)
TIN:
32046002278
Categories:
Licensed Psychologists

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