Brown, Susan Lyn
Brown, Susan Lyn is an individual health care provider with primary practice located at 1614 W 3Rd St , Red Wing MN 55066-2086. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Brown, Susan Lyn can be contacted via phone (651) 327-2770.Contact Information
Primary practice address
1614 W 3Rd St
Red Wing MN 55066-2086
Phone: (651) 327-2770
Fax: (651) 327-2771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 301700 | Minnesota |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 13727 | Minnesota |
Profile Details
| NPI number | 1467990622 |
|---|---|
| LBN Legal business name | Brown, Susan Lyn |
| Credentials | LADC, LSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2017 |
| Last updated | Feb 8th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467990622 | NPPES |
| Minnesota | Other | 301700 | LADC LICENSE NUMBER |
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