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NPI Code Detail

MEDICARE: PATRICE ERICA BROWN LCSW

MEDICARE: PATRICE ERICA 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
11041C0700XClinical Social Worker009904CT

General Provider Information

NPI Number : 1801440094
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICE ERICA BROWN LCSW
Provider Business Mailing Address
First Line : 1440 WHALLEY AVE
Second Line :
City : NEW HAVEN
State : CT
Zip : 06515-1144
Country : US
Telephone Number : 203-389-5599
Fax Number : 203-389-5904
Provider Business Practice Location Address
First Line : 1440 WHALLEY AVE
Second Line :
City : NEW HAVEN
State : CT
Zip : 06515-1144
Country : US
Telephone Number : 203-389-5599
Fax Number : 203-389-5904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2019
Last Update Date : 07/26/2019

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Directions to “ PATRICE ERICA BROWN LCSW” Practice Location

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