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Individual

MRS. MARY BALL BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHCNS, BC

Contact information

Practice address
1761 OLD MEADOW RD, MC LEAN, VA 22102-4315
(703) 531-6302
(703) 448-3723
Mailing address
1761 OLD MEADOW RD, MC LEAN, VA 22102-4315
(703) 531-6302

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
0001108010
VA
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0015000768
VA

Other

Enumeration date
02/15/2013
Last updated
02/15/2013
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