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MR. KENNETH BROWN M.S.W.
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1841311586
Individual Registrant:MR. KENNETH BROWN M.S.W.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
200 WEST HOSPITAL DRIVE WHITERIVER, AZ 85941 US
Tel: 928-338-4911 Fax: 928-338-3522
Tel: 928-338-4911 Fax: 928-338-3522
Contact information for business:
PO BOX 860 200 WEST HOSPITAL DRIVE WHITERIVER, AZ 85941 US
Tel: 928-338-4911 Fax: 928-338-3522
Tel: 928-338-4911 Fax: 928-338-3522
Registration Information:
NPI: 1841311586
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | AZ | LCSW-0482 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
