Individual
DR. REGINA S BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-6633
Mailing address
1061 HARMON AVE STE 1D03, FORT STEWART, GA 31314-5641
(912) 435-6633
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LPC005406
GA
103TC0700X
Clinical Psychologist
Primary
PSY003441
GA
Other
Enumeration date
11/10/2008
Last updated
12/13/2011
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