Individual
MICHELLE WYNNETTE BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6911 SW 64TH TER, OCALA, FL 34476-3447
(772) 621-0917
Mailing address
6911 SW 64TH TER, OCALA, FL 34476-6086
(772) 621-0917
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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