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Organization
PATRICIA BOCK
Active
Organization
PATRICIA BOCK
Active
Other names
Freedom Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA S. BOCK LCSW, LCAS, CCS (OWNER/PROVIDER)
(919) 585-2069
Entity
Organization
Contact information
Practice address
9933 HWY 70 EAST, CLAYTON, NC 27520
(919) 585-2069
(919) 585-2075
Mailing address
9933 HIGHWAY 70 EAST, CLAYTON, NC 27520
(919) 585-2069
(919) 585-2075
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
18
NC
1041C0700X
Clinical Social Worker
Primary
C005405
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6106694
—
NC
Enumeration date
07/10/2012
Last updated
07/10/2012
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