Individual
BROCK HARKINS ESAROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1930 CROWN PARK CT STE 100, COLUMBUS, OH 43235-2402
(614) 695-3747
Mailing address
1930 CROWN PARK CT STE 100, COLUMBUS, OH 43235-2402
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
757107
OH
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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