UPI (Provider ID): 1061
Change Report (if Any):

Short Name: BROWN COUNSEL

Long Name 1: BROWN COUNTY COUNSELING
Long Name 2:

Address 1: 75 BANTING DRIVE
Address 2:

City: GEORGETOWN
Zip Code: 45121
County: BROW

Contact: PEGGY FOSTER
Title: EX DR
Phone: 9373784811
FAX: 9373784812

Vendor: 1061

Reports Status: NO CLAIMS/

MACSIS Last Update Date: 11/29/2011

File Produced: 19MAY2012