Most Relevant Information
Provider Data
| NPI Number: | 1003051913 |
| Provider Name: | FAWNETTE BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | S.0500693 |
Most Important Dates
| Enumeration Date: | 12/05/2008 |
| Last Updated: | 12/02/2020 |
Provider Practice Location
2116 UNIVERSITY PLACE
DAYTON
OH
45406
Practice Location Phone/Fax
| Phone: | 9372686511 |
| Fax: |
Provider Mailing Location
2116 UNIVERSITY PL
DAYTON
OH
454065965
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |