Individual
JONQUIL BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7841
Mailing address
2525 N KILPATRICK ST, PORTLAND, OR 97217-6363
(971) 409-6326
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6214
OR
Other
Enumeration date
09/11/2015
Last updated
09/11/2015
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