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Individual

ELISE BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2608 NICHOLS RD, KALAMAZOO, MI 49004-3222
(616) 283-7187
Mailing address
2608 NICHOLS RD, KALAMAZOO, MI 49004-3222
(616) 283-7187

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801107581
MI
1041C0700X
Clinical Social Worker
6801115861
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6801107581
STATE OF MICHIGAN
MI
05
6801115861
MI
Enumeration date
08/18/2020
Last updated
12/30/2025
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