Individual
LISA CHRISTINE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
(906) 774-1570
Mailing address
715 PYLE DR, KINGSFORD, MI 49802-4456
(906) 774-0522
(906) 774-1570
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301011688
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
982471034362
PREFERRED ONE
—
01
—
LB011688
BCBS OF MI
MI
Enumeration date
07/06/2006
Last updated
07/08/2007
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