Individual
MS. CAROL BROCKMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
7919 PARK AVE APT 1, ELKINS PARK, PA 19027-2645
(215) 782-1484
(215) 780-1848
Mailing address
7919 PARK AVE APT 1, ELKINS PARK, PA 19027-2645
(215) 782-1484
(215) 780-1848
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW000904L
PA
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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