Individual
RENEE LEE SIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LSSP
Contact information
Practice address
14210 TX-150, COLDSPRING, TX 77331
(936) 653-1179
Mailing address
160 BOYS CAMP RD, NEW WAVERLY, TX 77358-5870
(936) 777-5630
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
30497
TX
Other
Enumeration date
10/29/2020
Last updated
10/01/2021
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