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Individual

WILLETTA DENICE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
418 FORESTWOOD DR, FORNEY, TX 75126-9728
(214) 274-4903
Mailing address
418 FORESTWOOD DR, FORNEY, TX 75126-9728
(214) 274-4903

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
310400000X
Assisted Living Facility
311ZA0620X
Adult Care Home Facility
Primary
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Other

Enumeration date
12/05/2017
Last updated
12/05/2023
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