Individual
MRS. CARMITA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 334-9099
Mailing address
707 W MILWAUKEE ST, DETROIT, MI 48202-2943
(313) 334-9099
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
1041C0700X
Clinical Social Worker
6851099005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6801099005
REPORTING
MI
Enumeration date
06/01/2021
Last updated
11/17/2021
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