Individual
BETTE JEAN PRENOVEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2612 W VILLA MARIA RD, BRYAN, TX 77807-4881
(979) 207-3636
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(254) 724-8800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
32903
TX
Other
Enumeration date
03/13/2014
Last updated
01/05/2021
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