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1780020602
HOLLEY BROCK
DOTHAN, AL
NPI
1780020602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AL 3129)
Enumeration Date
2013-05-18
Last Update Date
2013-05-18
Business Address
-- HOLLEY BROCK lpc
408 HEALTHWEST DR
DOTHAN, AL 36303-2054
Phone number: 334-702-7222
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Mailing Address
-- HOLLEY BROCK lpc
408 HEALTHWEST DR
DOTHAN, AL 36303-2054
Phone number: 334-702-7222
Copy
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