Individual
DR. SUPAVAN K BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 SE 2ND ST, SUITE 100, LEES SUMMIT, MO 64063-2759
(816) 404-6189
(816) 525-2251
Mailing address
300 SE 2ND ST, SUITE 100, LEES SUMMIT, MO 64063-2759
(816) 404-6189
(816) 525-2251
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2011038966
MO
Other
Enumeration date
02/20/2012
Last updated
02/20/2012
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