Individual
GENEEN NICHOLE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
127 PETERS ST, LAGRANGE, GA 30240
(917) 753-5174
Mailing address
137B COMMERCE AVE STE 262, LAGRANGE, GA 30241-2337
(917) 753-5174
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
082177-1
NY
1041C0700X
Clinical Social Worker
Primary
CSW005514
GA
Other
Enumeration date
11/03/2014
Last updated
07/27/2021
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