Individual
ELLIOT BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
835 PRIDE DR STE B, HAMMOND, LA 70401-9527
(985) 543-4730
(985) 543-4752
Mailing address
835 PRIDE DR STE B, HAMMOND, LA 70401-9527
(985) 543-4730
(985) 543-4752
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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