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Individual
RISHEEN BROWN
Active
Individual
RISHEEN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081998
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00745088
AGENCY'S MEDICAID MMIS #
NY
01
—
1003991019
AGENCY'S NPI #
NY
Enumeration date
10/08/2010
Last updated
01/09/2017
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