Individual
SHAWNNEICE BETH BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, PIP
Contact information
Practice address
SPARKS CENTER 1720 7TH AVENUE SOUTH- 9TH FLOOR, BIRMINGHAM, AL 35294-0017
(205) 934-5201
(205) 975-4879
Mailing address
SPARKS CENTER 1720 7TH AVENUE SOUTH- 9TH FLOOR, BIRMINGHAM, AL 35294-0017
(205) 934-5201
(205) 975-4879
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0581C
AL
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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