Individual
AVA LAVERN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3903 INDIANAPOLIS BLVD, EAST CHICAGO, IN 46312-2555
(219) 398-7050
Mailing address
1046 E EATON ST, HAMMOND, IN 46320-2613
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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