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MICHAEL BROWN

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1174892079

Individual Registrant:
 MICHAEL  BROWN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
703 CALVIN AVERY DR STE A  WEST MEMPHIS, AR 72301-6538 US
Tel: 870-732-1878  Fax: --

Contact information for business:
703 CALVIN AVERY DR STE A  WEST MEMPHIS, AR 72301-6538 US
Tel: 870-732-1878  Fax: --

Registration Information:
NPI: 1174892079
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171M00000XOther Service Providers
Case Manager/Care Coordinator

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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