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Individual
MS. KATRINA A BROCK
Active
Individual
MS. KATRINA A BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C-00662
MI
104100000X
Social Worker
6801082828
MI
1041C0700X
Clinical Social Worker
Primary
6801082828
MI
Other
Enumeration date
01/07/2008
Last updated
07/14/2026
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