Individual
BROUILLARD VIRGINIA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 N WASHINGTON ST, QUITMAN, GA 31643-1657
(229) 548-3000
Mailing address
PO BOX 898, 707 N WASHINGTON STREET, QUITMAN, GA 31643-0898
(229) 548-3000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/08/2012
Last updated
12/08/2012
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