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JACKLYN BROWN

Mental Retardation & Developmental Disabilities >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1275132284

Individual Registrant:
 JACKLYN  BROWN 
Gender: F
Sole Proprietor

Location and contact information for practice:
454 BROCKTON DR  MIDDLETOWN, DE 19709-8369 US
Tel: 856-979-5112  Fax: --

Contact information for business:
454 BROCKTON DR  MIDDLETOWN, DE 19709-8369 US
Tel: 856-979-5112  Fax: --

Registration Information:
NPI: 1275132284
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TM1800XBehavioral Health & Social Service Providers
Psychologist
Mental Retardation & Developmental Disabilities
DE

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
250567338DE05




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