Most Relevant Information
Provider Data
| NPI Number: | 1003468869 |
| Provider Name: | ODESSIA NICOLE BROWN LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 103604 |
Most Important Dates
| Enumeration Date: | 07/11/2019 |
| Last Updated: | 03/10/2021 |
Provider Practice Location
4401 BRONX BLVD
BRONX
NY
104701407
Practice Location Phone/Fax
| Phone: | 7183047010 |
| Fax: |
Provider Mailing Location
210 E 115TH ST APT 3B
NEW YORK
NY
100292135
Provider Mailing Phone/Fax
| Phone: | 3474430928 |
| Fax: |