Individual
JASON BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 4TH ST E, SOUTH POINT, OH 45680-9430
(740) 451-0307
(606) 329-1530
Mailing address
8267 PONDEROSA CT LOT 16, ASHLAND, KY 41102-9484
(606) 547-6149
(606) 329-1530
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
KY
Other
Enumeration date
03/18/2019
Last updated
12/06/2024
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