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Provider Information for 1952698854


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Ms. MORGANNE RACHELLE BROWN LCSW


Sex: Female

NPI: 1952698854
Last Updated: 2023-10-31
Certification Date: 2023-10-31

Details

NameValue
NPI1952698854
Enumeration Date2011-06-30
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address PO BOX 1041
PARAGOULD, AR 72451-1041
United States

Phone: 870-573-8037 | Fax:870-573-8039
 
Primary Practice Address 211 N 23RD ST
PARAGOULD, AR 72450-4094
United States

Phone: 870-573-8037 | Fax:870-573-8039
 
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 - ClinicalAR3369-C