Provider Information for 1396453148
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Ms. JESSICA LYNN BROWN LPC
Sex: Female
NPI: 1396453148
Last Updated: 2022-11-10
Certification Date: 2022-11-10
Certification Date: 2022-11-10
Details
| Name | Value | ||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1396453148 | ||||||||||||||
| Enumeration Date | 2022-11-10 | ||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||
| Sole Proprietor | YES | ||||||||||||||
| Status | Active | ||||||||||||||
| Mailing Address | 448 E CHAPIN ST CADILLAC, MI 49601-2203 United States Phone: 231-429-1160 | Fax: | ||||||||||||||
| Primary Practice Address | 448 E CHAPIN ST CADILLAC, MI 49601-2203 United States Phone: 231-429-1160 | Fax: | ||||||||||||||
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