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General NPI Number Information
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NPI Number | 1124269584
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Entity Type | Individual
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Provider Name | LEECIE PATTON BROWN L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2009
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 4850 MARK CENTER DR
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City | ALEXANDRIA
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State | VA
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Zip | 22311-1882
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Country | US
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Telephone | 703-746-3400
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 CAMERON GLEN DR
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City | RESTON
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State | VA
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Zip | 20190-3363
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904006725
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License Number State | VA
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