Individual
VALERIE L BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4006 S TRELLIS AVE, PALMER, AK 99645-8572
(907) 223-4740
Mailing address
1401 S. SEWARD MERIDIAN PKWY A,B, C, WASILLA, AK 99654-5327
(907) 631-3520
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
194282
AK
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
11/11/2020
Last updated
03/02/2023
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