Individual
MR. MARCIUS R BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1045 ALPINE WAY, SAINT PETER, MN 56082-7518
(507) 317-5247
Mailing address
1045 ALPINE WAY, SAINT PETER, MN 56082-7518
(507) 317-5247
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401006936
MI
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
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