Individual
BEVIN GANNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 SPINKS RD, FLOWER MOUND, TX 75022
(214) 286-6034
Mailing address
2201 SPINKS RD, #145, FLOWER MOUND, TX 75022
(214) 286-6034
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
78088
TX
Other
Enumeration date
10/30/2019
Last updated
10/28/2024
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