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JENNIFER BROWN LCSW
Clinical >> Social Worker >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1568709269
Individual Registrant: JENNIFER BROWN LCSW
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
3429 RENNER DR FORTUNA, CA 95540-3104 US
Tel: 707-296-9295 Fax: 707-324-0314
Tel: 707-296-9295 Fax: 707-324-0314
Contact information for business:
3429 RENNER DR FORTUNA, CA 95540-3104 US
Tel: 707-296-9295 Fax: 707-324-0314
Tel: 707-296-9295 Fax: 707-324-0314
Registration Information:
NPI: 1568709269
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1041C0700X | Behavioral Health & Social Service Providers Social Worker Clinical | CA | 29128 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
