Individual
TAMMY BROOKLYN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 528-1212
Mailing address
720 BRYANT ST APT 1, CORBIN, KY 40701-1008
(606) 275-9822
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW00001231
KY
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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