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Individual

MR. ROBERT IRA BROWNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CSW

Contact information

Practice address
340 N MOUNT VERNON AVE, PRESCOTT, AZ 86301-2620
(928) 445-8393
Mailing address
451 HILLCREST DR, PRESCOTT, AZ 86303-5813
(928) 541-9826

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
12392
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z121542
MEDICARE PTAN
AZ
Enumeration date
08/24/2006
Last updated
03/26/2009
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