Individual
JERROLD BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
1736 1 MILE RD, FULTON, MI 49052-9612
(269) 729-5292
Mailing address
1736 1 MILE RD, FULTON, MI 49052-9612
(269) 729-5292
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011317
MI
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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