Individual
MRS. MARTHA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1453 N. MAIN ST. SUITE F, SAN LUIS, AZ 85349
(928) 627-6540
(928) 627-3635
Mailing address
3796 W 21ST ST, YUMA, AZ 85364-5870
(928) 722-7043
(928) 627-4480
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MIPS #838120
AHCCCS
AZ
Enumeration date
03/30/2007
Last updated
07/26/2007
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