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Individual
TERESA A BROWN
Active
Individual
TERESA A BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2002032265
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498327709
—
MO
Enumeration date
11/30/2010
Last updated
11/30/2010
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