Individual
EBONY SIERRA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
156 HIGHWAY 51 N, BATESVILLE, MS 38606-2348
(662) 712-6257
Mailing address
860 E RIVER PL, JACKSON, MS 39202-3442
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
802659279
MS
Other
Enumeration date
05/23/2019
Last updated
05/23/2019
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