Individual
JOHN BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 IRVING ST NW, WASHINGTON, DC 20010-2921
(127) 020-2877
Mailing address
9348 CHERRY HILL RD APT 227, COLLEGE PARK, MD 20740-1203
(410) 533-3023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02889L
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
01/10/2024
Last updated
07/19/2024
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