Marissa Brown
Social Worker, Clinical in Suffolk, VA. Individual provider (NPI-1).
NPI number1689488181
StatusActive
Last updated in NPPESFeb 4, 2025
Details
- NPI
- 1689488181
- Entity type
- Individual (NPI-1)
- Name
- Marissa Brown
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 4, 2025
- Certification date
- Feb 2, 2025
- Last updated
- Feb 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904017662 | VA | Yes |
Practice location
3908 Breezeport WaySuffolk, VA 23435-1085
Phone 757-537-9379
Mailing address
1500 Shipyard Rd Ste DChesapeake, VA 23323-5517
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