AMANDA BROCK

SPRINGFIELD, OH
NPI1861103681
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  CDCA.182887)
Enumeration Date2022-12-13
Last Update Date2022-12-13
Business Address
AMANDA BROCK CDCA
2317 E HOME RD
SPRINGFIELD, OH 45503-2520
Phone number: 937-390-8060
Mailing Address
AMANDA BROCK CDCA
640 W 1ST ST
SPRINGFIELD, OH 45504-1650
Phone number: 937-624-9954