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Individual

KATIE CONSOLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
8441 HIGHWAY 47, CLINICAL BUILDING 1, SUITE 1100, BRYAN, TX 77807
(979) 436-0700
Mailing address
8441 HIGHWAY 47, CLINICAL BUILDING 1, SUITE 1100, BRYAN, TX 77807

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
12/11/2020
Last updated
12/11/2020
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