Individual
JULIE SHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.S, NCSP
Contact information
Practice address
829 COLORADO DR, XENIA, OH 45385-4859
(937) 372-1251
Mailing address
829 COLORADO DR, XENIA, OH 45385-4859
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
OH3151567
OH
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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