Individual
AHMY LYNN BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
5900 N BURDICK ST STE 201, EAST SYRACUSE, NY 13057-9463
(315) 416-7572
(315) 627-0273
Mailing address
2997 SWEET RD, JAMESVILLE, NY 13078-9697
(315) 416-7572
(315) 627-0273
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000247-1
NY
Other
Enumeration date
03/03/2010
Last updated
12/28/2016
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