Individual
SHEQUITA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1961 REYNOLDS ST, MUSKEGON, MI 49442-5655
(870) 635-3599
Mailing address
1961 REYNOLDS ST, MUSKEGON, MI 49442-5655
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
AF610417971
MI
Other
Enumeration date
02/06/2024
Last updated
02/06/2024
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