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Contact Information

CANDACE R BROWN, LCSW
12355 DE PAUL DR STE 150
BRIDGETON, MO63044-2581
 Phone: 314-344-7153
 Fax:
 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 CANDACE R BROWN · (Female)

NPI Number 1629762273
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 06/06/2023
Last updated 06/17/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2021044523
  • MO License # 2024018396
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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