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Amaris Brown, L.P.C.

Counselor, Professional in Woodbridge, VA. Individual provider (NPI-1).

NPI number1922474733
StatusActive
Last updated in NPPESAug 15, 2015

Details

NPI
1922474733
Entity type
Individual (NPI-1)
Name
Amaris Brown
Credential
L.P.C.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 15, 2015
Last updated
Aug 15, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YP2500X Counselor, Professional0701005947VAYes
101YP2500X Counselor, ProfessionalLC4514MD

Practice location

4686 Hercules Ln
Woodbridge, VA 22193-3031

Phone 937-367-4466

Mailing address

4686 Hercules Ln
Woodbridge, VA 22193-3031

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