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1912112699
WANDA CLARICE BROCK
HENDERSON, NC
NPI
1912112699
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: NC 4481)
Enumeration Date
2007-05-14
Last Update Date
2007-07-08
Business Address
Ms. WANDA CLARICE BROCK LPC
510 DABNEY DR
HENDERSON, NC 27536-3946
Phone number: 252-431-0072
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Mailing Address
Ms. WANDA CLARICE BROCK LPC
3129 MARENGO RD
LA CROSSE, VA 23950-2420
Phone number: 434-636-2792
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