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Contact Information

SANDRA GORMON BROWN, MSW, LICSW
N 1212 WASHINGTON
GRASSROOTS THERAPY GROUP SUITE 204
SPOKANE, WA99201
 Phone: 509-279-8838
 Fax: 509-464-6239
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for SANDRA GORMON BROWN · (Female)

NPI # 1154696086
Status Active
Credentials MSW, LICSW
Entity Individual
Enumeration date 03/10/2012
Last updated 04/30/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WA License # LW00006666
  • WA License # LW60185885
  • WA Medicaid 2041796
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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