Individual
JEREMY WADE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4332 MILLBROOK AVE APT 1, NEW BOSTON, OH 45662-5560
(740) 935-2447
Mailing address
4332 MILLBROOK AVE APT 1, NEW BOSTON, OH 45662-5560
(740) 935-2447
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
KY
Other
Enumeration date
07/18/2024
Last updated
08/07/2024
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