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Individual

CHARNISSA BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
6589 DRY LAKE RD, QUITMAN, GA 31643-5905
(229) 263-6947
Mailing address
5044 DIXIE BARWICK RD, BOSTON, GA 31626-6408
(229) 300-2880

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
171W00000X
Contractor
Primary

Other

Enumeration date
02/08/2017
Last updated
04/14/2026
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