Individual
CARISSA L BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2405 NORTHWAY AVE, FORT WAYNE, IN 46805-2005
(260) 348-1423
Mailing address
2405 NORTHWAY AVE, FORT WAYNE, IN 46805-2005
(260) 348-1423
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
99129508A
IN
Other
Enumeration date
09/23/2025
Last updated
09/23/2025
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