Individual
MRS. ANNIE R. BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
525 N LAFAYETTE DR, SUMTER, SC 29150-4347
(803) 775-6293
(803) 775-7593
Mailing address
1278 N. LAFAYETTE DRIVE, SUMTER, SC 29150-2964
(803) 774-4500
(803) 774-4626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
8922
SC
1041C0700X
Clinical Social Worker
8922
SC
Other
Enumeration date
10/17/2007
Last updated
10/12/2018
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