Individual
BRENNA BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 W UNIVERSITY AVE, GEORGETOWN, TX 78626-6643
(817) 516-9102
Mailing address
505 W UNIVERSITY AVE, GEORGETOWN, TX 78626-6643
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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