Individual
JENNIFER BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6100 S WALKER AVE, OKLAHOMA CITY, OK 73139-7026
(405) 634-4400
Mailing address
14405 SYLENA WAY, OKLAHOMA CITY, OK 73170-7803
(405) 634-4400
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OK
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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