Individual
MRS. KATHLEEN CONNOLLY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
89 W SOUTH BLVD, TROY, MI 48085-1611
(800) 693-1916
Mailing address
89 W SOUTH BLVD, TROY, MI 48085-1611
(800) 693-1916
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801076039
MI
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
149-007937
IL
1041C0700X
Clinical Social Worker
6801076039
MI
Other
Enumeration date
11/05/2007
Last updated
04/17/2023
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