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Contact Information

JALISE L BROWN, LCSW
1500 E WOODROW WILSON AVE
JACKSON, MS39216-5116
 Phone: 601-641-9953
 Fax: 601-767-2318
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JALISE L BROWN · (Female)

NPI # 1609471960
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 12/03/2020
Last updated 06/30/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • MS License # C10606
  • MS License # M9293
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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