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Marissa Lynn Brown

Social Worker in Watertown, NY. Individual provider (NPI-1).

NPI number1124806062
StatusActive
Last updated in NPPESSep 21, 2023

Details

NPI
1124806062
Entity type
Individual (NPI-1)
Name
Marissa Lynn Brown
Sex
Female
Sole proprietor
No
Enumeration date
Sep 21, 2023
Certification date
Sep 21, 2023
Last updated
Sep 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker11704101NYYes

Practice location

595 W Main St
Watertown, NY 13601-1381

Phone 315-965-4638

Mailing address

595 W Main St
Watertown, NY 13601-1381

Phone 315-965-4638

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