Individual
MRS. VIKKI ANNE BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15401 VIVIAN ST, TAYLOR, MI 48180-5021
(248) 613-7019
Mailing address
15401 VIVIAN ST, TAYLOR, MI 48180-5021
(248) 613-7019
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
727873
MI
Other
Enumeration date
03/23/2010
Last updated
04/12/2026
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