Individual
JENNA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 N DETROIT ST, XENIA, OH 45385-2909
(937) 610-4673
Mailing address
1459 HOLLY BUSH DR APT B, FAIRBORN, OH 45324-6587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1904334
OH
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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