Individual
TANJA LATRECE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
152 HIGHWAY 7 S APT 12, OXFORD, MS 38655-5392
(662) 234-7521
(662) 236-3071
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(622) 347-5216
(662) 236-3071
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
Q3-0010611
DE
Other
Enumeration date
07/17/2017
Last updated
06/25/2021
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