Ted Phillip Brown, L.C.S.W.
Social Worker, Clinical in Petersburg, VA. Individual provider (NPI-1).
NPI number1952344368
StatusActive
Last updated in NPPESNov 2, 2012
Details
- NPI
- 1952344368
- Entity type
- Individual (NPI-1)
- Name
- Mr. Ted Phillip Brown
- Credential
- L.C.S.W.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 14, 2006
- Last updated
- Nov 2, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 0904004493 | VA | Yes |
Practice location
20 W Bank StSuite 5
Petersburg, VA 23803-3279
Phone 804-863-1689
Mailing address
1701 Airleigh CtRichmond, VA 23235-4503
Phone 804-560-0226
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