Individual
TOMEIKA BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 638-0938
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
264041
KY
247200000X
Other Technician
50159478
KY
Other
Enumeration date
08/25/2010
Last updated
09/21/2022
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