Individual
MR. ERNEST LESLIE BROWN IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1531 E SUNSHINE ST STE W29, SPRINGFIELD, MO 65804-1237
(417) 501-5069
Mailing address
308 WALNUT LN, BRANSON, MO 65616-2225
(417) 332-7525
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019004152
MO
Other
Enumeration date
03/24/2019
Last updated
03/24/2019
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