Madison Shaun Brown
Madison Shaun Brown is a Community/Behavioral Health Agency in Avondale, Arizona. Practices as a sole proprietor. Licensed in Arizona.
- Licensed in
- AZ
- In the registry since
- 2020
Practice location Address checks out
810 S 124th AveAvondale, AZ 85323-8490
Phone: (623) 242-7962
Fax: (480) 452-0475
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Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X · Licence BH6421 (AZ) |
|---|
Record details
| NPI number | 1376148544 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 3, 2020 |
| Last updated in NPPES | December 3, 2020 |
| Certification date | December 3, 2020 |
| Mailing address | 810 S 124th Ave, Avondale, AZ 85323-8490 |
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