Individual
MISS IRIS LYNNE BROWN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1017 MEDICAL CENTER PKWY, SELMA, AL 36701-6780
(334) 875-2100
(334) 418-6540
Mailing address
2007 3RD AVENUE CIR, SELMA, AL 36701
(334) 875-2100
(334) 418-6540
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
948C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6291861
UBH PROVIDER-BASIC SERVIC
AL
01
—
6292861
UBH PROVIDER #-PLUS SERVI
AL
Enumeration date
05/10/2006
Last updated
07/09/2007
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