Individual
HARLEY C SHOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
211 BIEDE AVE, DEFIANCE, OH 43512-2497
(419) 782-8856
Mailing address
211 BIEDE AVE, DEFIANCE, OH 43512-2497
(419) 782-8856
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/07/2022
Last updated
04/20/2026
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