Individual
MISS MICHELLE ANTIONETTE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLMHP, PMSW
Contact information
Practice address
11071 W MAPLE RD, OMAHA, NE 68164-2604
(402) 932-8884
(402) 932-8885
Mailing address
4202 N 126TH CT APT 206, OMAHA, NE 68164-1884
(402) 609-6876
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12098
NE
1041C0700X
Clinical Social Worker
7436
NE
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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