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Individual

SONJA BROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
CHILDREN S PSYCHIATRIC HOSPITAL, 1001 YALE BLVD., ALBUQUERQUE, NM 87131-0001
(505) 272-5002
Mailing address
1001 YALE BLVD, MSC09 5030, ALBUQUERQUE, NM 87131-0001
(505) 272-5002

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
79-14
NM

Other

Enumeration date
07/30/2006
Last updated
07/08/2007
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