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NPI Code Detail

MEDICARE: YVETTE D BROWN-SANDERS LICSW

MEDICARE: YVETTE D BROWN-SANDERS LICSW
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 WorkerLC50080547DC

General Provider Information

NPI Number : 1407496839
Entity Type Code : Individual
Provider Name (Legal Business Name) : YVETTE D BROWN-SANDERS LICSW
Provider Business Mailing Address
First Line : 111 CROSSRIDGE CT
Second Line :
City : STAFFORD
State : VA
Zip : 22554-1745
Country : US
Telephone Number : 571-398-8078
Fax Number :
Provider Business Practice Location Address
First Line : 3417 18TH ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-2721
Country : US
Telephone Number : 202-629-2917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/14/2020
Last Update Date : 01/30/2020

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Directions to “ YVETTE D BROWN-SANDERS LICSW” Practice Location

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