Provider Information for 1699974253
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Mrs. JOAN M BROWN LCSW-R
Other Names:Former Name:Mrs. JOAN M BROWN LCSW-RSex: Female
NPI: 1699974253
Last Updated: 2024-08-22
Certification Date: 2024-08-22
Certification Date: 2024-08-22
Details
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NPI | 1699974253 | ||||||||
Enumeration Date | 2007-07-13 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | NO | ||||||||
Status | Active | ||||||||
Mailing Address | 90 HORNBROOK RD ITHACA, NY 14850-9427 United States Phone: | Fax: | ||||||||
Primary Practice Address | 1019 E WATER ST ELMIRA, NY 14901-3332 United States Phone: 607-733-5696 | Fax: | ||||||||
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