Individual
CHRISTINA L BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
911 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2131
Mailing address
911 STACEY BURK DR, FLORA, IL 62839-3241
(618) 662-2131
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149024412
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
149.024412
LICENSED CLINICAL SOCIAL WORKER
IL
Enumeration date
03/30/2022
Last updated
03/30/2022
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