Individual
BRENDAH NAMWAWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 W SEMANDS ST, CONROE, TX 77301-1867
(936) 756-5598
Mailing address
12502 SEATTLE SLEW DR APT 1422, HOUSTON, TX 77065-4587
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
326622
TX
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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