Individual
DR. ANN LORENE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
6315 GARDEN WALK BLVD, RIVERDALE, GA 30274-2628
(770) 991-7420
(770) 991-7429
Mailing address
6315 GARDEN WALK BLVD, RIVERDALE, GA 30274-2628
(770) 991-7420
(770) 991-7429
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY002481
GA
Other
Enumeration date
02/19/2007
Last updated
07/08/2007
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