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Individual

MRS. CARIE ELIZABETH BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW LSCSW

Contact information

Practice address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-2544
(620) 792-7052
Mailing address
1905 19TH ST, GREAT BEND, KS 67530-2502
(620) 792-2544
(620) 792-7052

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
5375
1041C0700X
Clinical Social Worker
Primary
3716
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100098090A
KS
Enumeration date
03/27/2007
Last updated
11/18/2008
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