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Individual

NICOLE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 NORTHGATE DR S, SATSUMA, AL 36572-2130
(551) 271-7486
Mailing address
110 NORTHGATE DR S, SATSUMA, AL 36572-2130
(551) 271-7486

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
12/19/2023
Last updated
02/12/2024
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