Basic Information
| Provider Information | |||||||||
| NPI: | 1710444690 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | ASHLEY | ||||||||
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| Credential: | MSW, LSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2130 MILESTONE DR APT 219 | ||||||||
| Address2: | |||||||||
| City: | FINDLAY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 458407350 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8508906977 | ||||||||
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| Practice Location | |||||||||
| Address1: | 11745 TOWNSHIP ROAD 145 | ||||||||
| Address2: | |||||||||
| City: | FINDLAY | ||||||||
| State: | OH | ||||||||
| PostalCode: | 458401093 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4194240832 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/27/2019 | ||||||||
| LastUpdateDate: | 02/27/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | S.1802733 | OH | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.