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Individual

VIRGINIA A BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
1300 MELLON ST, LITTLE ROCK, AR 72207-6148
(501) 416-9351
Mailing address
1300 MELLON ST, LITTLE ROCK, AR 72207-6148
(501) 416-9351

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1365-C
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
126188726
AR
01
19403000000
QUALCHOICE
AR
01
800011329
RAILROAD MEDICARE
AR
01
P00020686
RAILROAD MEDICARE
AR
Enumeration date
10/11/2006
Last updated
09/05/2013
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