Most Relevant Information
Provider Data
| NPI Number: | 1003220773 |
| Provider Name: | MICHELLE BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/20/2014 |
| Last Updated: | 06/20/2014 |
Provider Practice Location
1015 LANTON RD
WEST PLAINS
MO
657753854
Practice Location Phone/Fax
| Phone: | 4172562570 |
| Fax: | 4172566497 |
Provider Mailing Location
1015 LANTON RD
WEST PLAINS
MO
657753854
Provider Mailing Phone/Fax
| Phone: | 4172562570 |
| Fax: | 4172566497 |