Provider Demographics
NPI:1811002124
Name:BROWN, ALISON MARIE (LMSW)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:MARIE
Last Name:BROWN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ALISON
Other - Middle Name:MARIE
Other - Last Name:GIRARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:417 W BAKER RD
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:MI
Mailing Address - Zip Code:48628-9746
Mailing Address - Country:US
Mailing Address - Phone:989-270-0616
Mailing Address - Fax:
Practice Address - Street 1:417 W BAKER RD
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:MI
Practice Address - Zip Code:48628-9746
Practice Address - Country:US
Practice Address - Phone:989-270-0616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2023-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6802081657104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker