Individual
MRS. ANNE MARIE BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
282 JOHNSTON ST, GOSHEN, IN 46528-2558
(574) 501-5342
Mailing address
930 4TH RD, BREMEN, IN 46506-9078
(574) 274-5468
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004590A
IN
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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