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NPI Code Detail

MEDICARE: MRS. STEPHANIE ADAIR BROWN LCSW

MEDICARE: MRS. STEPHANIE ADAIR BROWN LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker991813CO

General Provider Information

NPI Number : 1194845545
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STEPHANIE ADAIR BROWN LCSW
Provider Business Mailing Address
First Line : 1644 S COLLEGE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1007
Country : US
Telephone Number : 970-221-0999
Fax Number : 970-221-2727
Provider Business Practice Location Address
First Line : 1644 S COLLEGE AVE
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-1007
Country : US
Telephone Number : 970-221-0999
Fax Number : 970-221-2727
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2007
Last Update Date : 07/08/2007

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