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Individual

BREANNA M ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1020 RIVERWOOD CT, CONROE, TX 77304-2811
(936) 521-6100
(936) 760-2898
Mailing address
PO BOX 3067, CONROE, TX 77305-3067
(936) 521-6100
(936) 760-2898

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
61219
TX

Other

Enumeration date
03/02/2007
Last updated
07/08/2007
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