Individual
TILFANY BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15064 CARROLLTON BLVD, CARROLLTON, VA 23314-3582
(757) 705-6724
Mailing address
136 MAPLE ST, SUFFOLK, VA 23434-4050
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/18/2024
Last updated
05/18/2024
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