Provider Information for 1922286160
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CARLA BROWN LCSW
Sex: Female
NPI: 1922286160
Last Updated: 2022-08-09
Certification Date: 2022-08-09
Certification Date: 2022-08-09
Details
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NPI | 1922286160 | ||||||||||||||||
Enumeration Date | 2008-02-08 | ||||||||||||||||
NPI Type | NPI-1 Individual | ||||||||||||||||
Sole Proprietor | YES | ||||||||||||||||
Status | Active | ||||||||||||||||
Mailing Address | 210 S THOMPSON ST STE 6 BOX 508 SPRINGDALE, AR 72764-4261 United States Phone: 479-888-2147 | Fax:479-269-1078 | ||||||||||||||||
Primary Practice Address | 65 E SUNBRIDGE DR FAYETTEVILLE, AR 72703-2894 United States Phone: 479-888-2147 | Fax: | ||||||||||||||||
Secondary Practice Address(es) | 2400 S. 48TH ST. | ||||||||||||||||
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