MEDICARE: BRITTANY BROWN

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1033859467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY BROWN

Provider Business Mailing Address
First Line	:	1836 MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-3412
Country	:	US
Telephone Number	:	919-791-5457
Fax Number	:

Provider Business Practice Location Address
First Line	:	1836 MARTIN LUTHER KING JR BLVD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27610-3412
Country	:	US
Telephone Number	:	919-791-5457
Fax Number	:

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

Provider Enumeration Date	:	04/01/2022
Last Update Date	:	04/01/2022

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Directions to “ BRITTANY BROWN ” Practice Location

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