Provider Demographics
NPI:1194109520
Name:BROWN, ALISON
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 371
Mailing Address - Street 2:
Mailing Address - City:SINCLAIR
Mailing Address - State:WY
Mailing Address - Zip Code:82334-0371
Mailing Address - Country:US
Mailing Address - Phone:307-321-2938
Mailing Address - Fax:
Practice Address - Street 1:2014 E CEDAR ST SUITE B
Practice Address - Street 2:
Practice Address - City:RAWLINS
Practice Address - State:WY
Practice Address - Zip Code:82301
Practice Address - Country:US
Practice Address - Phone:307-321-2938
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-15
Last Update Date:2015-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management