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Individual

MICHAEL DAVID BROWN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
2172 NW 137TH ST, CLIVE, IA 50325-8536
(773) 318-6865
Mailing address
2172 NW 137TH ST, CLIVE, IA 50325-8536
(773) 318-6865

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008389
IA

Other

Enumeration date
11/26/2021
Last updated
11/26/2021
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