Individual
GWENIVERE S BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LSW
Contact information
Practice address
2580 SHILOH SPRINGS RD #B, TROTWOOD, OH 45426
(937) 529-4376
Mailing address
200 WINTER CREEK CT, ENGLEWOOD, OH 45322-2247
(937) 992-1199
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.0600408
OH
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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