Individual
JOAN M BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(918) 825-1405
(918) 825-1406
Mailing address
231 E GRAHAM AVE, PRYOR, OK 74361-2436
(918) 825-1405
(918) 825-1406
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2508
OK
Other
Enumeration date
04/27/2007
Last updated
08/17/2011
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