Provider Information for 1942675046
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KORI A BROWN LCSW
Sex: Female
NPI: 1942675046
Last Updated: 2023-02-09
Certification Date: 2023-02-09
Certification Date: 2023-02-09
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1942675046 | ||||||||||||
| Enumeration Date | 2015-12-01 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 711 S CARSON ST STE 4 CARSON CITY, NV 89701-5292 United States Phone: 631-772-9644 | Fax: | ||||||||||||
| Primary Practice Address | 4745 OGLETOWN STANTON RD STE 237 NEWARK, DE 19713-2074 United States Phone: 302-320-2100 | Fax:302-623-7942 | ||||||||||||
| Secondary Practice Address(es) | 711 S CARSON ST STE 4 | ||||||||||||
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