Most Relevant Information
Provider Data
| NPI Number: | 1003263773 |
| Provider Name: | LARRY BROWN |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/23/2016 |
| Last Updated: | 09/26/2024 |
Provider Practice Location
1162 OLIVER RD
MONROE
LA
712015755
Practice Location Phone/Fax
| Phone: | 3183401535 |
| Fax: |
Provider Mailing Location
1162 OLIVER RD
MONROE
LA
712015755
Provider Mailing Phone/Fax
| Phone: | 3183401535 |
| Fax: |