JOHN LAWRENCE BROCK, JR.

GREENSBURG, KY
NPI1215982939
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KY  165874)
Enumeration Date2006-05-23
Last Update Date2017-01-11
Business Address
-- JOHN LAWRENCE BROCK, JR. CADC
521 OLD HODGENVILLE RD
GREENSBURG, KY 42743-9493
Phone number: 270-932-3226
Mailing Address
-- JOHN LAWRENCE BROCK, JR. CADC
130 SOUTHERN SCHOOL RD
SOMERSET, KY 42501-3223
Phone number: 606-679-4782
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