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NPI Code Detail

MEDICARE: JULIA BROWN LCSW

MEDICARE: JULIA 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 WorkerCW021035PA

General Provider Information

NPI Number : 1972114734
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA BROWN LCSW
Provider Business Mailing Address
First Line : 440 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-4090
Country : US
Telephone Number : 267-438-1839
Fax Number :
Provider Business Practice Location Address
First Line : 440 N BROAD ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-4090
Country : US
Telephone Number : 267-438-1839
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2020
Last Update Date : 08/13/2020

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Directions to “ JULIA BROWN LCSW” Practice Location

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