Individual
MRS. CAROL ANNETTE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
13087 N COUNTY ROAD 349, LIVE OAK, FL 32060-6663
(386) 688-7703
Mailing address
13087 N COUNTY ROAD 349, LIVE OAK, FL 32060-6663
(386) 688-7703
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SI 2267
FL
235Z00000X
Speech-Language Pathologist
Primary
SZ8305
FL
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA16634
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
01
—
SZ8305
STATE OF FLORIDA DEPARTMENT OF HEALTH
FL
Enumeration date
02/15/2016
Last updated
11/09/2018
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