Individual
LISA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5921 COUNTY ROAD 647, HORNERSVILLE, MO 63855-9811
(573) 559-8067
Mailing address
5921 COUNTY ROAD 647, HORNERSVILLE, MO 63855-9811
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/14/2016
Last updated
02/15/2016
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