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Individual

NICHOLAS EUGENE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
123 GAMBLE AVE, WHEELING, WV 26003-5327
(304) 242-2189
Mailing address
123 GAMBLE AVE, WHEELING, WV 26003-5327
(304) 242-2189

Taxonomy

Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00601669678
WV
05
H0503830101
WV
Enumeration date
12/14/2020
Last updated
12/14/2020
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