Individual
BENNIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
302 S BROAD ST, CLINTON, SC 29325-2507
(864) 938-2100
Mailing address
302 S BROAD ST, CLINTON, SC 29325-2507
(864) 938-2100
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ISW16392
FL
Other
Enumeration date
07/11/2022
Last updated
07/15/2022
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