Individual
MISS JESSICA SIDNI BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1082 SEDONA PASS, INDIANAPOLIS, IN 46280-2795
(812) 322-5803
Mailing address
1082 SEDONA PASS, INDIANAPOLIS, IN 46280-2795
(812) 322-5803
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34007169A
IN
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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