Individual
FAITH BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1600 GRAND LAKE DR, CONROE, TX 77304-2834
(713) 302-8997
Mailing address
1600 GRAND LAKE DR, CONROE, TX 77304-2834
(713) 302-8997
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
18636
TX
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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