Individual
KELLY BROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 E MERRIMACK ST, LOWELL, MA 01852-1251
(978) 433-6800
Mailing address
77 E MERRIMACK ST, LOWELL, MA 01852-1251
(978) 433-6800
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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