Individual
BREYAUN BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
832 YALE ST, HOUSTON, TX 77007-1538
(312) 476-9064
(312) 900-8230
Mailing address
PO BOX 752123, HOUSTON, TX 77275-2123
(312) 476-9064
(312) 900-8230
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105740
TX
Other
Enumeration date
06/27/2022
Last updated
06/27/2022
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