Individual
CORINA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
28 CRESCENT ST, MIDDLETOWN, CT 06457
(865) 358-8760
(865) 358-8754
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457
(865) 358-8760
(860) 358-8754
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
004225
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004225
CT LICENSE
CT
01
—
004225
LCSW LIC#
—
Enumeration date
03/02/2006
Last updated
01/31/2008
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