Individual
JENNIFER L BOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 452, FUQUAY VARINA, NC 27526-0179
(910) 381-3465
Mailing address
PO BOX 452, FUQUAY VARINA, NC 27526-0179
(910) 381-3465
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
A22410
NC
Other
Enumeration date
06/12/2026
Last updated
06/12/2026
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