MEDICARE: BRENDA LAYMANCE BROWN LCSWA

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	1041C0700X	Clinical Social Worker	P007716	NC

General Provider Information

NPI Number	:	1922444876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA LAYMANCE BROWN LCSWA

Provider Business Mailing Address
First Line	:	PO BOX 1
Second Line	:
City	:	BARIUM SPRINGS
State	:	NC
Zip	:	28010-0001
Country	:	US
Telephone Number	:	704-873-1011
Fax Number	:	704-832-2253

Provider Business Practice Location Address
First Line	:	33 E MAIN ST
Second Line	:
City	:	FRANKLIN
State	:	NC
Zip	:	28734-3088
Country	:	US
Telephone Number	:	828-524-3833
Fax Number	:	828-586-0649

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

Provider Enumeration Date	:	05/20/2013
Last Update Date	:	05/20/2013

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