Individual
AVIA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
16619 WILLOW GLEN DR, WILDWOOD, MO 63040-1751
(314) 732-9503
Mailing address
16619 WILLOW GLEN DR, WILDWOOD, MO 63040-1751
(314) 732-9503
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.026994
IL
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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