Individual
KELLY BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4154 OLD WILLIAM PENN HWY STE 300, MURRYSVILLE, PA 15668-1942
(412) 295-4345
Mailing address
1832 ROGENA ST, MCKEESPORT, PA 15132-5153
(541) 912-7446
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW023713
PA
251S00000X
Community/Behavioral Health Agency
—
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Other
Enumeration date
07/05/2017
Last updated
05/17/2024
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