Individual
BROCK SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW, PIP
Contact information
Practice address
5330 STADIUM TRACE PKWY, HOOVER, AL 35244-4525
(205) 490-6983
Mailing address
5171 SAPPHIRE RDG, HOOVER, AL 35244-4172
(205) 310-4827
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2292-C
AL
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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