Individual
TANNER CORBIN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(940) 391-5421
Mailing address
120 MEGHAN LN, JUDSONIA, AR 72081-9302
(940) 391-5421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A1609122
AR
101YM0800X
Mental Health Counselor
F1609014
AR
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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