Individual
FALISSEONA O BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QBHP
Contact information
Practice address
3201 W. KEISER AVE, OSCEOLA, AR 72370-3467
(870) 622-0592
(870) 622-0782
Mailing address
1815 PLEASANT GROVE RD, JONESBORO, AR 72405-7870
(870) 933-6886
(870) 933-9395
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
AR
Other
Enumeration date
11/07/2017
Last updated
03/08/2021
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