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Provider Information for 1346802337


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MEALIKA D. BROWN


Sex: Female

NPI: 1346802337
Last Updated: 2019-07-01
Certification Date:

Details

NameValue
NPI1346802337
Enumeration Date2019-07-01
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 890
WACO, TX 76703-0890
United States

Phone: 254-752-3451 | Fax:254-756-3133
 
Primary Practice Address 110 S 12TH ST
WACO, TX 76701-1810
United States

Phone: 254-752-3451 | Fax:254-756-3133
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YP2500X - Counselor - ProfessionalTX74177