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Matthew Elijah Brown, LCSW

Social Worker, Clinical in Jefferson City, MO. Individual provider (NPI-1).

NPI number1528751237
StatusActive
Last updated in NPPESMay 30, 2023

Details

NPI
1528751237
Entity type
Individual (NPI-1)
Name
Matthew Elijah Brown
Credential
LCSW
Sex
Male
Sole proprietor
No
Enumeration date
May 30, 2023
Certification date
May 30, 2023
Last updated
May 30, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical2022034939MOYes

Practice location

1025 Dogwood Dr
Jefferson City, MO 65109-1811

Phone 573-291-6073

Mailing address

1025 Dogwood Dr
Jefferson City, MO 65109-1811

Phone 573-291-6073

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