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Individual
WALTER ALLEN BROWN
Active
Individual
WALTER ALLEN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904001577
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0033
CAREFIRST BCBS
VA
05
—
0045026
—
VA
01
—
188803
ANTHEM
VA
01
—
270291
AMERIGROUP VIRGINIA INC.
VA
01
—
540001103002
TRICARE
VA
Enumeration date
12/18/2006
Last updated
07/08/2007
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