MEDICARE: MR. BYRON DUANE BROWN MSW, LISW

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	I-2532	OH
2	1041C0700X	Clinical Social Worker	I-2532	OH

General Provider Information

NPI Number	:	1346280344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BYRON DUANE BROWN MSW, LISW

Provider Business Mailing Address
First Line	:	1877 BARNETT CT W
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-3703
Country	:	US
Telephone Number	:	614-231-1201
Fax Number	:

Provider Business Practice Location Address
First Line	:	1877 BARNETT CT. W.
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227
Country	:	US
Telephone Number	:	614-231-1201
Fax Number	:

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	05/28/2014

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