Individual
MRS. ELLEN RUTH BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
178.007648
IL
222Q00000X
Developmental Therapist
—
—
Other
Enumeration date
02/27/2007
Last updated
06/28/2021
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