Individual
DEANDRE ANTONIO DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 W DAVIS ST, CONROE, TX 77304-1849
(832) 401-9701
Mailing address
2030 BEACON CHASE CT, SPRING, TX 77373-2705
(254) 319-5853
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105350
TX
Other
Enumeration date
09/25/2021
Last updated
09/25/2021
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