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Individual

ERICCA YOLANDA BROCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
421 FALLSWAY, BALTIMORE, MD 21202-4800
(443) 703-1259
Mailing address
2211 MADISON AVE, BALTIMORE, MD 21217-3936
(443) 414-3998

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP15896
MD

Other

Enumeration date
09/11/2025
Last updated
09/11/2025
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