Individual
BROCK SCHUELKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1033 SW 152ND ST, BURIEN, WA 98166-1845
(815) 404-3897
Mailing address
24029 111TH PL SE APT J102, KENT, WA 98030-5279
(815) 404-3897
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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