Individual
BROCK STEVEN ZERKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
102 N JACKSON ST, NEWTON, IL 62448-1900
(618) 783-7529
Mailing address
5313 N LAKEWOOD RD, OLNEY, IL 62450-4315
(618) 843-1975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.015563
IL
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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