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Individual

JACKSON BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
5118 PARK AVE, SUITE 500, MEMPHIS, TN 38117-5720
(901) 458-8638
Mailing address
790 HOMER ST, MEMPHIS, TN 38122-3404

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
20-3858944
TN

Other

Enumeration date
11/16/2011
Last updated
11/16/2011
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