Individual
DAVID J BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 LONG BLVD, 5, LANSING, MI 48911-6896
(517) 420-6123
Mailing address
1538 STONEY PT, LANSING, MI 48917-1450
(517) 323-8395
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
6301005177
MI
Other
Enumeration date
10/16/2008
Last updated
10/16/2008
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