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Individual

MRS. JA'LISE LYNN BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1500 E WOODROW WILSON AVE, JACKSON, MS 39216-5116
(601) 641-9953
(601) 767-2318
Mailing address
3415 PEMBERTON SQUARE BLVD, VICKSBURG, MS 39180-5886
(601) 641-9953
(601) 767-2318

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
M9293
MS
1041C0700X
Clinical Social Worker
Primary
C10606
MS

Other

Enumeration date
12/03/2020
Last updated
06/30/2023
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