Individual
NICOLE SHANAE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
2722 N HANCOCK ST UNIT 304, PHILADELPHIA, PA 19133-3539
(267) 974-6640
Mailing address
821 S 13TH ST, PHILADELPHIA, PA 19147-2635
(267) 974-6640
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW141510
PA
Other
Enumeration date
08/24/2024
Last updated
08/24/2024
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