Provider Information for 1316459654
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BRENDA DRAGE-CHAN LPC
Sex: Female
NPI: 1316459654
Last Updated: 2017-10-26
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1316459654 | ||||||||
| Enumeration Date | 2017-10-26 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 607 RATHERVUE PL AUSTIN, TX 78705-3127 United States Phone: 512-469-9447 | Fax:512-451-9694 | ||||||||
| Primary Practice Address | 607 RATHERVUE PL AUSTIN, TX 78705-3127 United States Phone: 512-469-9447 | Fax:512-451-9694 | ||||||||
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