Provider Demographics
NPI:1912168220
Name:BROWN, MARGARET ANN (CAC-M)
Entity type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANN
Last Name:BROWN
Suffix:
Gender:F
Credentials:CAC-M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3840 FAIRVIEW ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48214-1608
Mailing Address - Country:US
Mailing Address - Phone:313-331-8990
Mailing Address - Fax:313-331-6375
Practice Address - Street 1:3840 FAIRVIEW ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48214-1608
Practice Address - Country:US
Practice Address - Phone:313-331-8990
Practice Address - Fax:313-331-6375
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-19
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor