NPI | 1275960700 |
---|---|
Former Name | ANGIE LORRAINE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: LA 5883) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN 28756) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2013-09-30 |
Last Update Date | 2022-02-22 |