Organization
LISA BROWN, LCSW L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA M BROWN LCSW (OWNER)
(804) 926-0991
Entity
Organization
Contact information
Practice address
13510 E BOUNDARY RD, SUITE 104, MIDLOTHIAN, VA 23112-4057
(804) 876-0239
Mailing address
13510 E BOUNDARY RD, SUITE 104, MIDLOTHIAN, VA 23112-4057
(804) 876-0239
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0904005572
VA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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