CHARLES BROCK

BATON ROUGE, LA
NPI1245697069
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2016-01-25
Last Update Date2022-03-25
Business Address
Mr. CHARLES BROCK Jurist Doctor
8706 JEFFERSON HWY STE A
BATON ROUGE, LA 70809-2233
Phone number: 225-926-9706
Mailing Address
Mr. CHARLES BROCK Jurist Doctor
210 PEAR TREE CIR
BROUSSARD, LA 70518-7240
Phone number: 337-419-6227
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