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Individual
MR. ANDREW MICHAEL BOCK
Active
Individual
MR. ANDREW MICHAEL BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4543-125
WI
Other
Enumeration date
06/14/2006
Last updated
12/23/2011
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