Individual
SUSAN RENA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2204 WILMA RD NW, ALBUQUERQUE, NM 87104-3232
(505) 872-2330
Mailing address
2204 WILMA RD NW, ALBUQUERQUE, NM 87104-3232
(505) 872-2330
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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