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1659722692
BROCK GRACE
WINSTON SALEM, NC
NPI
1659722692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC A12061)
Enumeration Date
2016-06-30
Last Update Date
2022-08-13
Business Address
BROCK GRACE LPC
1400 OLD MILL CIR STE A
WINSTON SALEM, NC 27103-2977
Phone number: 336-893-7742
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Mailing Address
BROCK GRACE LPC
6220 THERMAL RD
CHARLOTTE, NC 28211-5630
Phone number:
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