Individual
MADISON SHAUN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
810 S 124TH AVE, AVONDALE, AZ 85323-8490
(623) 242-7962
(480) 452-0475
Mailing address
810 S 124TH AVE, AVONDALE, AZ 85323-8490
(646) 460-1913
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
BH6421
AZ
Other
Enumeration date
12/03/2020
Last updated
12/03/2020
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