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JENNIFER BROWN LCSW

Clinical >> Social Worker >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1568709269

Individual Registrant:
 JENNIFER  BROWN LCSW
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

Contact information for business:
3429 RENNER DR  FORTUNA, CA 95540-3104 US
Tel: 707-296-9295  Fax: 707-324-0314

Registration Information:
NPI: 1568709269
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1041C0700XBehavioral Health & Social Service Providers
Social Worker
Clinical
CA29128

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS CA - Page 1



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