Individual
MR. JOHNNY BRIAN BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
6417 US ROUTE 60, ASHLAND, KY 41102-8661
(606) 585-8070
Mailing address
6417 US ROUTE 60, ASHLAND, KY 41102-8661
(606) 585-8070
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/25/2014
Last updated
12/10/2014
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