Individual
EVAN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11120 S CROWN WAY STE 1, WELLINGTON, FL 33414-8718
(561) 790-1191
Mailing address
11120 S CROWN WAY STE 1, WELLINGTON, FL 33414-8718
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY9819
FL
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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