Individual
JACLYNN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
501 S CHERRY AVE STE 5, MARSHFIELD, WI 54449-4263
(715) 486-8302
(715) 486-9253
Mailing address
501 S CHERRY AVE STE 5, MARSHFIELD, WI 54449-4263
(715) 486-8302
(715) 486-9253
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1073-124
WI
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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