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Individual

MARK C BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1188 BELL RD STE 202, CHAGRIN FALLS, OH 44022-6101
(440) 338-3214
Mailing address
1188 BELL RD STE 202, CHAGRIN FALLS, OH 44022-6101
(440) 338-3214
(440) 338-3215

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2304
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0322609
OH
Enumeration date
02/23/2007
Last updated
07/01/2021
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