Individual
BRIAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
712 LORETO LN, BLACKLICK, OH 43004-8365
(614) 804-2192
Mailing address
712 LORETO LN, BLACKLICK, OH 43004-8365
(614) 804-2192
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OH
Other
Enumeration date
08/25/2023
Last updated
08/25/2023
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