Individual
MS. JANELLE KAY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW
Contact information
Practice address
2201 N BROADWELL AVE, GRAND ISLAND, NE 68803-2153
(308) 382-3660
(308) 385-2738
Mailing address
117 CANYON DR, PHILLIPS, NE 68865-1725
(308) 382-3660
(308) 385-2738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
663 AND 973
NE
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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