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1467996181
STACY BROCK
BATON ROUGE, LA
NPI
1467996181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251B00000X Case Management
Enumeration Date
2016-12-14
Last Update Date
2018-05-23
Business Address
Mrs. STACY BROCK
8946 INTERLINE AVE
BATON ROUGE, LA 70809
Phone number: 225-615-7282
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Mailing Address
Mrs. STACY BROCK
8946 INTERLINE AVE
BATON ROUGE, LA 70809-1913
Phone number: 225-615-7282
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