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Provider Information for 1932781978


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Dr. KERENE T BROWN LCSW


Sex: Female

NPI: 1932781978
Last Updated: 2021-05-10
Certification Date: 2021-05-10

Details

NameValue
NPI1932781978
Enumeration Date2021-04-27
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 89 HURON WAY
NORCROSS, GA 30071-3609
United States

Phone: 770-608-2029 | Fax:
 
Primary Practice Address 6045 ATLANTIC BLVD STE 221
NORCROSS, GA 30071-1327
United States

Phone: 404-692-2858 | Fax:404-777-9341
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalGACSW007577