Provider Information for 1679959951
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KANDIE BROWN LCSW 118380
Sex: Female
NPI: 1679959951
Last Updated: 2023-11-06
Certification Date: 2023-11-06
Certification Date: 2023-11-06
Details
| Name | Value | ||||||||||||||||||||
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| NPI | 1679959951 | ||||||||||||||||||||
| Enumeration Date | 2015-08-10 | ||||||||||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||||||||||
| Sole Proprietor | NO | ||||||||||||||||||||
| Status | Active | ||||||||||||||||||||
| Mailing Address | 3105 WILSON RD BAKERSFIELD, CA 93304-5319 United States Phone: 661-397-8775 | Fax:661-397-8286 | ||||||||||||||||||||
| Primary Practice Address | 3105 WILSON RD BAKERSFIELD, CA 93304-5319 United States Phone: 661-397-8775 | Fax:661-397-8286 | ||||||||||||||||||||
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