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Individual

KELLY BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
325 ELLA ST, GRESHAM, NE 68367-3028
(402) 750-9917
Mailing address
PO BOX 115, GRESHAM, NE 68367-0115
(402) 750-9917

Taxonomy

Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary

Other

Enumeration date
12/13/2024
Last updated
12/13/2024
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