Individual
MRS. GABRIELLA NORDAN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5746
(601) 984-5842
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5746
(601) 984-5842
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
C5815
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05179525
—
MS
Enumeration date
03/02/2011
Last updated
10/04/2016
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