Individual
MS. CRETE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 NORTH 12TH AVE, POCATELLO, ID 83204
(208) 251-2400
(208) 233-4224
Mailing address
303 NORTH 12TH AVE, POCATELLO, ID 83204
(208) 251-2400
(208) 233-4224
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
529
ID
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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