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Provider Information for 1134665391


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MALANIE BROWN LCSW


Other Names:  
Former Name: 
MELANIE STONE

Sex: Female

NPI: 1134665391
Last Updated: 2017-01-12
Certification Date:

Details

NameValue
NPI1134665391
Enumeration Date2017-01-12
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 14551 GOLDEN OAK RD
CENTREVILLE, VA 20121-2253
United States

Phone: 240-418-5744 | Fax:
 
Primary Practice Address 7969 ASHTON AVE
MANASSAS, VA 20109-2885
United States

Phone: 703-792-7800 | Fax:703-792-5699
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalVA0904009573