Individual
MS. BERLYN MILLER BOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,ACP
Contact information
Practice address
4101 BELLAIRE DR S, FORT WORTH, TX 76109-2025
(817) 924-4270
Mailing address
4101 BELLAIRE DR S, FORT WORTH, TX 76109-2025
(817) 924-4270
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1635
TX
106H00000X
Marriage & Family Therapist
—
TX
Other
Enumeration date
07/28/2011
Last updated
08/17/2011
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