Provider Information for 1013908243
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Dr. PATRICIA A. BRAWLEY Ph.D., LPC
Sex: Female
NPI: 1013908243
Last Updated: 2007-07-10
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1013908243 | ||||||||
| Enumeration Date | 2005-11-04 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 208 HARMONY ST MCCOMB, MS 39648-2210 United States Phone: 601-684-9657 | Fax:888-807-7051 | ||||||||
| Primary Practice Address | 208 HARMONY ST MCCOMB, MS 39648-2210 United States Phone: 601-684-9657 | Fax:888-807-7051 | ||||||||
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