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1508950858
MELISSA JILL BROCK
JOHNSON CITY, TN
NPI
1508950858
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Former Name
MELISSA JILL PICKENS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: TN LCSW3939)
Enumeration Date
2006-10-03
Last Update Date
2010-04-26
Business Address
-- MELISSA JILL BROCK LCSW
926 W OAKLAND AVE SUITE 226
JOHNSON CITY, TN 37604-1445
Phone number: 423-929-0300
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Mailing Address
-- MELISSA JILL BROCK LCSW
926 W OAKLAND AVE SUITE 226
JOHNSON CITY, TN 37604-1445
Phone number: 423-929-0300
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