Individual provider · NPI-1

Dr. Debra Fuller Brown, PhD

Social Worker, Clinical · Lithonia, GA

NPI number1285809368
StatusActive
Last updated in NPPESApr 29, 2008

Details

NPI
1285809368
Entity type
Individual (NPI-1)
Name
Dr. Debra Fuller Brown
Credential
PhD
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 29, 2008
Last updated
Apr 29, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalCSW002411GAYes

Practice location

1198 Oak Knoll Ct
Lithonia, GA 30058-3090

Phone 770-484-1863

Mailing address

1198 Oak Knoll Ct
Lithonia, GA 30058-3090

Phone 770-484-1863

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