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1760851356
SHANA MARIE BROCK
CORBIN, KY
NPI
1760851356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-09-24
Last Update Date
2015-09-24
Business Address
-- SHANA MARIE BROCK MEd
1203 AMERICAN GREETING CARD RD
CORBIN, KY 40701-4811
Phone number: 606-528-7010
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Mailing Address
-- SHANA MARIE BROCK MEd
PO BOX 568
CORBIN, KY 40702-0568
Phone number:
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