Provider Demographics
NPI:1518065465
Name:MULLER-BROWN, DOREEN O (MSW)
Entity Type:Individual
Prefix:MRS
First Name:DOREEN
Middle Name:O
Last Name:MULLER-BROWN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MAJOR DR
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06374-1720
Mailing Address - Country:US
Mailing Address - Phone:860-564-4168
Mailing Address - Fax:
Practice Address - Street 1:39 S CANTERBURY RD
Practice Address - Street 2:
Practice Address - City:CANTERBURY
Practice Address - State:CT
Practice Address - Zip Code:06331-1520
Practice Address - Country:US
Practice Address - Phone:860-546-6959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0022241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical