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Individual
WILLETTA DENICE BROWN
Active
Individual
WILLETTA DENICE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
310400000X
Assisted Living Facility
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
NULL
Other
Enumeration date
12/05/2017
Last updated
12/05/2023
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