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Theodore Brown

Social Worker, Clinical in Los Angeles, CA. Individual provider (NPI-1).

NPI number1669920856
StatusActive
Last updated in NPPESOct 7, 2026

Details

NPI
1669920856
Entity type
Individual (NPI-1)
Name
Theodore Brown
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 15, 2016
Certification date
Oct 7, 2026
Last updated
Oct 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical83325CAYes
101YM0800X Counselor, Mental Health83325CA

Practice location

1708 Exposition Blvd
Los Angeles, CA 90018-4454

Phone 323-359-3759

Mailing address

1708 Exposition Blvd
Los Angeles, CA 90018-4454

Phone 323-359-3759

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