Individual
KATHLEEN ELLEN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1068 S LAKE DR, LEXINGTON, SC 29073-3720
(803) 726-9492
Mailing address
1068 S LAKE DR, LEXINGTON, SC 29073-3720
(803) 726-9492
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
16907
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2024
Last updated
05/16/2024
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