SHANNON BROCK

FORT EDWARD, NY
NPI1639362635
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: NY  078314)
Enumeration Date2007-08-22
Last Update Date2025-11-21
Business Address
SHANNON BROCK LCSWR
46 REYNOLDS RD
FORT EDWARD, NY 12828-9217
Phone number: 518-573-0239
Mailing Address
SHANNON BROCK LCSWR
46 REYNOLDS RD
FORT EDWARD, NY 12828-9217
Phone number: 518-573-0239
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