Individual
MS. CHARLENE E BROOCK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1005 21ST ST SE, STE B, RIO RANCHO, NM 87124-4030
(781) 454-8015
Mailing address
1005 21ST ST SE, STE B, RIO RANCHO, NM 87124-4030
(781) 454-8015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C-08797
NM
Other
Enumeration date
05/26/2006
Last updated
09/06/2016
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