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1144878851
HOLLY BROCK
FORT WORTH, TX
NPI
1144878851
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: TX 14947)
Enumeration Date
2019-08-27
Last Update Date
2019-08-27
Business Address
HOLLY BROCK LPC
4133 BEDINGTON LN
FORT WORTH, TX 76244-5791
Phone number: 817-862-1569
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Mailing Address
HOLLY BROCK LPC
4133 BEDINGTON LN
FORT WORTH, TX 76244-5791
Phone number: 817-862-1569
Copy
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