Individual
AMBER BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22170 W 9 MILE RD, SOUTHFIELD, MI 48033-6007
(248) 372-6800
Mailing address
7043 GREELEY ST, UTICA, MI 48317-5426
(586) 335-3626
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
6801102042
MI
Other
Enumeration date
01/23/2018
Last updated
08/01/2022
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