Individual
BROCK RICHARD GREEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
718 BIG HORN AVE, SUITE D., WORLAND, WY 82401
(307) 431-2712
(307) 347-4340
Mailing address
601 GRACE AVE., WORLAND, WY 82401
(307) 431-2712
(307) 347-4340
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW-592
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106352900
—
WY
05
—
106352903
—
WY
Enumeration date
03/21/2007
Last updated
05/29/2012
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