Individual
LUCILLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
902 JUNE DR, MONTEZUMA, GA 31063-1021
(478) 244-9390
Mailing address
902 JUNE DR, MONTEZUMA, GA 31063-1021
(478) 244-9390
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
02/10/2020
Last updated
02/10/2020
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