Individual
STEPHANIE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
129 CLARK ST, GROVE HILL, AL 36451-3050
(334) 275-4165
Mailing address
251 FOREST AVE, JACKSON, AL 36545-2729
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2254A
AL
Other
Enumeration date
04/08/2014
Last updated
04/08/2014
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