Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | LC50078658 | DC |
NPI | 1003142043 |
---|---|
Provider Name | Ms. Ann S. Brown |
First Address | Washington, DC 20037-1902 |
Second Address | Washington, DC 20037-1902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2009 |
Last Update Date | 27/10/2009 |