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Russell Brown

Social Worker, Clinical in Snellville, GA. Individual provider (NPI-1).

NPI number1467134072
StatusActive
Last updated in NPPESAug 2, 2023

Details

NPI
1467134072
Entity type
Individual (NPI-1)
Name
Russell Brown
Sex
Male
Sole proprietor
No
Enumeration date
Aug 2, 2023
Certification date
Aug 2, 2023
Last updated
Aug 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalCSW007003GAYes

Practice location

1930 Hickory Station Cir
Snellville, GA 30078-6179

Phone 404-697-7541

Mailing address

1930 Hickory Station Cir
Snellville, GA 30078-6179

Phone 404-697-7541

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