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1821787714
RICHARD B BROCK
SHREVEPORT, LA
NPI
1821787714
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: LA 3831)
Enumeration Date
2023-05-05
Last Update Date
2023-05-05
Business Address
RICHARD B BROCK LPC
8932 JEWELLA AVE STE A
SHREVEPORT, LA 71118-2117
Phone number: 318-540-3223
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Mailing Address
RICHARD B BROCK LPC
2612 BUTLER HILL RD
BENTON, LA 71006-8645
Phone number: 318-540-3223
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