Individual
MS. GWEN AMELIA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
320 PACIFIC PL, MOUNT VERNON, WA 98273-5463
(360) 416-7570
Mailing address
320 PACIFIC PL, MOUNT VERNON, WA 98273-5463
(360) 416-7570
(360) 416-7580
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61293273
WA
Other
Enumeration date
05/02/2022
Last updated
04/10/2024
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