Individual
OCTAVIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1101 E 78TH ST STE 100, BLOOMINGTON, MN 55420-1402
(952) 854-5034
Mailing address
52C LINKS LN APT 100, WINONA, MN 55987-6811
(708) 299-5268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
07/19/2022
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