Individual
MRS. TAMMY BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP-410
Contact information
Practice address
1052 PARK AVE, CRANSTON, RI 02910-3225
(401) 461-5056
(401) 943-2167
Mailing address
1 LATHAM FARM RD, SMITHFIELD, RI 02917-1001
(401) 349-4387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDP-00410
RI
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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