Individual
BROOKLYN BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
895 PARSONS AVE STE B, COLUMBUS, OH 43206-2398
(614) 705-1919
Mailing address
2383 E LIVINGSTON AVE, COLUMBUS, OH 43209-2877
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN378497
—
OH
Enumeration date
06/22/2018
Last updated
06/22/2018
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