Individual
BROCK RAMIREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
109 S WOODROW LN STE 300, DENTON, TX 76205-6324
(940) 765-6487
Mailing address
223 LILAC LN, SOUTHLAKE, TX 76092-7411
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
84621
TX
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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