Individual
FAWNETTE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2116 UNIVERSITY PLACE, DAYTON, OH 45406
(937) 268-6511
Mailing address
2116 UNIVERSITY PL, DAYTON, OH 45406-5965
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.0500693
OH
1041C0700X
Clinical Social Worker
S.0500693
OH
106H00000X
Marriage & Family Therapist
Primary
S, 0500693
OH
Other
Enumeration date
12/05/2008
Last updated
12/02/2020
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