Individual
JADE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
224 W D.L. INGRAM AVENUE, BLDG 1408, CANNON AFB, NM 88103-5834
(575) 590-2992
Mailing address
224 W D.L. INGRAM AVENUE, BLDG 1408, CANNON AFB, NM 88103
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
X-11472
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2024-0942
NM
Other
Enumeration date
07/01/2020
Last updated
03/19/2025
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