Individual
CAROLYN GWALTNEY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
30150 TELEGRAPH RD, BINGHAM FARMS, MI 48025
(248) 613-8527
Mailing address
2263 TIMBERRIDGE DR, WEST BLOOMFIELD, MI 48324-1473
(248) 613-8527
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801077674
MI
1041C0700X
Clinical Social Worker
6801077674
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P2-89-7722-0
BCBSM
MI
Enumeration date
09/27/2006
Last updated
09/19/2018
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