Individual
MELISSA JILL BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
926 W OAKLAND AVE, SUITE 226, JOHNSON CITY, TN 37604-1445
(423) 929-0300
(423) 926-8840
Mailing address
926 W OAKLAND AVE, SUITE 226, JOHNSON CITY, TN 37604-1445
(423) 929-0300
(423) 928-4563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW3939
TN
Other
Enumeration date
10/03/2006
Last updated
04/26/2010
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