Individual
REBECCA ANNE PROLIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2622 39TH AVE N, TEXAS CITY, TX 77590-3772
(832) 561-0369
Mailing address
2622 39TH AVE N, TEXAS CITY, TX 77590-3772
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202173
TX
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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