Individual
CONSTANCE RUTH BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
219 W COMMERCIAL ST STE 104, SPRINGFIELD, MO 65803-2622
(417) 812-6199
Mailing address
3760 S MORELAND CT, SPRINGFIELD, MO 65807-3812
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2022027122
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912633561
PERSONSAL NPI
—
05
—
490112940
—
MO
Enumeration date
07/26/2022
Last updated
09/25/2024
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