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Individual
SUSAN LYN BROWN
Active
Individual
SUSAN LYN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC, LSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301700
MN
104100000X
Social Worker
13727
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
301700
LADC LICENSE NUMBER
MN
Enumeration date
02/08/2017
Last updated
02/08/2017
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