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Individual

MR. RICO EUGENE BROWN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.C.S.W

Contact information

Practice address
337 COATBRIDGE DR, BLYTHEWOOD, SC 29016-9694
(704) 638-9000
Mailing address
337 COATBRIEDGE DR, BLYTHEWOOD, SC 29016
(803) 574-2777

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
12689
SC
1041C0700X
Clinical Social Worker
Primary
58.009695
CT
1041C0700X
Clinical Social Worker
66449
TX
1041C0700X
Clinical Social Worker
C010755
NC

Other

Enumeration date
05/23/2012
Last updated
10/28/2021
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