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Individual

MICHELLE BROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
102 COMPASS POINT DR, SAINT CHARLES, MO 63301-4404
(636) 946-4000
Mailing address
184 EQUESTRIAN DR, WINFIELD, MO 63389-2057
(636) 362-4404

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
81-3345378
MO

Other

Enumeration date
07/25/2016
Last updated
04/30/2018
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