MEDICARE: MS. LINDA R 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
1	1041C0700X	Clinical Social Worker	09118	TX

General Provider Information

NPI Number	:	1659312114
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA R BROWN LCSW

Provider Business Mailing Address
First Line	:	2322 W SETTLERS WAY
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77380-1438
Country	:	US
Telephone Number	:	281-740-8392
Fax Number	:	281-528-7360

Provider Business Practice Location Address
First Line	:	326 1/2 NOBLE ST # B
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77373-8339
Country	:	US
Telephone Number	:	281-740-8392
Fax Number	:	281-528-7360

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	03/28/2008

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