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Individual

JEFFREY L BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW

Contact information

Practice address
1520 VERNON ST, STOUGHTON, WI 53589-2260
(608) 873-1844
(608) 873-6014
Mailing address
6175 DELL DR, #2, MADISON, WI 53718-8289
(608) 222-1652

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2325-123
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39207400
WI
Enumeration date
11/09/2006
Last updated
07/08/2007
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