Individual
MARY LOUISE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
149 CHARLES ST, BARNWELL, SC 29812-1674
(803) 842-9009
(803) 621-2565
Mailing address
149 CHARLES ST, BARNWELL, SC 29812-1674
(803) 842-9009
(803) 621-2565
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
IHCP0750
SC
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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