Individual
ANNIE CLARA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCISW
Contact information
Practice address
209 W SPRING ST, SUITE 200, SYLACAUGA, AL 35150-2973
(334) 239-2622
(334) 625-7602
Mailing address
233 WINTON M BLOUNT LOOP, MONTGOMERY, AL 36117-3507
(334) 239-2622
(334) 625-7602
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
3932C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3932C
STATE LICENSE NUMBER
AL
Enumeration date
10/24/2016
Last updated
10/24/2016
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