Individual
MICHELLE D BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3278 MITCHELL BLVD BLDG 900, MOODY AFB, GA 31699-1500
(229) 257-2778
Mailing address
3278 MITCHELL BLVD BLDG 900, MOODY AFB, GA 31699-1500
(229) 257-2778
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW19816
FL
Other
Enumeration date
05/02/2022
Last updated
10/18/2025
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