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Individual

ANTHONY RAYMOND BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LADC

Contact information

Practice address
8502 MORMON BRIDGE RD, OMAHA, NE 68152-1929
(402) 991-8558
(402) 455-7050
Mailing address
4806 DODGE ST APT 5, OMAHA, NE 68132-3136
(402) 932-1558

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
913
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
913
NDHHS
NE
Enumeration date
03/21/2012
Last updated
03/21/2012
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