Individual
MS. CECILIA BROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
353 MARTHA AVE, ESBOCES BROOKHAVEN TSP, BELLPORT, NY 11713
(631) 286-6700
Mailing address
353 MARTHA AVE, ESBOCES BROOKHAVEN TSP, BELLPORT, NY 11713
(631) 286-6700
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
034485-1
NY
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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