Individual
LARRY WAYNE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1911 THOMPSON AVE, EAST POINT, GA 30344-6837
(912) 713-5699
Mailing address
1911 THOMPSON AVE, EAST POINT, GA 30344-6837
(912) 713-5699
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW003160
GA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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