Individual
BROCK NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(405) 535-8385
Mailing address
3425 SUPERIOR DR, MOORE, OK 73160-2744
(405) 535-8385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20054
OK
Other
Enumeration date
04/25/2023
Last updated
10/28/2024
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