Individual
SHERERY ROSHELLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 BROOKDALE ST STE 2, MARTINSVILLE, VA 24112-3105
(276) 790-3341
(276) 790-3167
Mailing address
PO BOX 3542, MARTINSVILLE, VA 24115-3542
(276) 618-4605
(276) 790-3167
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242569520
—
VA
Enumeration date
01/18/2018
Last updated
01/18/2018
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