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1588309777
MICHELLE D BROCK
MOODY AFB, GA
NPI
1588309777
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: FL SW19816)
Enumeration Date
2022-05-02
Last Update Date
2022-12-13
Business Address
MICHELLE D BROCK LCSW
3278 MITCHELL BLVD BLDG 900
MOODY AFB, GA 31699-1500
Phone number: 229-257-2778
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Mailing Address
MICHELLE D BROCK LCSW
3278 MITCHELL BLVD BLDG 900
MOODY AFB, GA 31699-1500
Phone number: 229-257-2778
Copy
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