Individual
JESSICA ASHLEE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW-CP
Contact information
Practice address
4300 FOREST DR, COLUMBIA, SC 29206
(803) 403-7891
Mailing address
4813 LUVALIE ST, COLUMBIA, SC 29203-5947
(803) 942-6560
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
14014
SC
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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