Individual
CALEB BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 N MAIN ST APT 10, EDWARDSVILLE, IL 62025-1161
(217) 460-0033
Mailing address
912 N MAIN ST APT 10, EDWARDSVILLE, IL 62025-1161
(217) 460-0033
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041465387
IL
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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