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Individual

DR. KENDRA BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
428 SW 7TH ST, STUART, FL 34994-2908
(772) 781-8724
(772) 219-4785
Mailing address
428 SW 7TH ST, STUART, FL 34994-2908
(772) 781-8724
(772) 219-4785

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY4592
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
090406
VALUE OPTIONS
FL
01
59359
BLUE CROSS BLUE SHIELD
FL
01
7345655002
GHI
FL
01
FL1944
BRADMAN UNIPSYCH
FL
Enumeration date
01/18/2007
Last updated
07/09/2007
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