Individual
CYNTHIA BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
4508 HARPERS FERRY CT NW, ALBUQUERQUE, NM 87120-3851
(505) 385-5454
Mailing address
4508 HARPERS FERRY CT NW, ALBUQUERQUE, NM 87120-3851
(505) 385-5454
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-05891
NM
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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