Individual
NANCY STATEN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
610 HART LAKE DR, WINTER HAVEN, FL 33884-4145
(734) 716-8840
Mailing address
610 HART LAKE DR, WINTER HAVEN, FL 33884-4145
(734) 716-8840
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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