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1861103681
AMANDA BROCK
SPRINGFIELD, OH
NPI
1861103681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH CDCA.182887)
Enumeration Date
2022-12-13
Last Update Date
2022-12-13
Business Address
AMANDA BROCK CDCA
2317 E HOME RD
SPRINGFIELD, OH 45503-2520
Phone number: 937-390-8060
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Mailing Address
AMANDA BROCK CDCA
640 W 1ST ST
SPRINGFIELD, OH 45504-1650
Phone number: 937-624-9954
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