Individual
DERRIC DEVON BROWN SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 SHAW AVE STE 120, CLOVIS, CA 93612-3819
(310) 421-5622
Mailing address
5307 N EL SOL AVE, FRESNO, CA 93722-6120
(310) 421-5622
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
65639
CA
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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