Individual
JACQUELINE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1708 HIGH ST, SOUTH BEND, IN 46613-2633
(574) 406-6180
(574) 232-9550
Mailing address
1708 HIGH ST, SOUTH BEND, IN 46613-2633
(574) 406-6180
(574) 232-9550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34010663
IN
Other
Enumeration date
06/29/2009
Last updated
10/04/2023
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