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1114438181
ALEXANDER PATRICK BROCK
SALEM, OR
NPI
1114438181
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: OR C5601)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2017-10-18
Last Update Date
2020-02-27
Business Address
Mr. ALEXANDER PATRICK BROCK M.S.
1515 LIBERTY ST SE
SALEM, OR 97302-4345
Phone number: 503-951-6280
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Mailing Address
Mr. ALEXANDER PATRICK BROCK M.S.
1515 LIBERTY ST SE
SALEM, OR 97302-4345
Phone number: 503-951-6280
Copy
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