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NPI Code Detail

MEDICARE: MS. JEAN LOUISE HEBERT-BROWN LCSW

MEDICARE:  MS. JEAN LOUISE HEBERT-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 WorkerLCS 9682CA

General Provider Information

NPI Number : 1205808763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JEAN LOUISE HEBERT-BROWN LCSW
Provider Business Mailing Address
First Line : 3633 CAMINO DEL RIO S 102
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4012
Country : US
Telephone Number : 619-260-8028
Fax Number : 619-260-1036
Provider Business Practice Location Address
First Line : 3633 CAMINO DEL RIO S 102
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4012
Country : US
Telephone Number : 619-260-8028
Fax Number : 619-260-1036
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2006
Last Update Date : 07/16/2015

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Directions to “ MS. JEAN LOUISE HEBERT-BROWN LCSW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.