Individual
KAYLA MARIE BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6629 W CENTRAL AVE, TOLEDO, OH 43617-1098
(419) 475-4449
Mailing address
6629 W CENTRAL AVE, TOLEDO, OH 43617-1098
(419) 475-4449
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.1902137-TRNE
OH
Other
Enumeration date
12/06/2019
Last updated
12/16/2019
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