Individual
FREDRICK BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 SASKATOON DR, LAKESIDE, MT 59922-9696
(509) 714-7609
Mailing address
PO BOX 141, LAKESIDE, MT 59922-0141
(509) 714-7609
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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