Individual
EDWARD BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1109 CARTER ST, SUITE 10, VIDALIA, LA 71373-3227
(318) 336-4700
(318) 336-4777
Mailing address
1109 CARTER ST, SUITE 10, VIDALIA, LA 71373-3227
(318) 336-4700
(318) 336-4777
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
8337
LA
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1561444
—
LA
Enumeration date
01/07/2016
Last updated
06/28/2023
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