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General NPI Number Information
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NPI Number | 1235502436
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Entity Type | Individual
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Provider Name | BRITNI BROWN LCSW
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Gender | Female
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 445 WINN WAY
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City | DECATUR
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State | GA
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Zip | 30030-1707
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Country | US
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Telephone | 404-294-3835
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Fax |
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Provider Business Mailing Address
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Address Line | 215 CHURCH ST STE 109
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City | DECATUR
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State | GA
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Zip | 30030-3330
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Country | US
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Telephone | 706-461-0919
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | CSW005317
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License Number State | GA
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