DAVID J BROCK

LANSING, MI
NPI1912159351
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MI  6301005177)
Enumeration Date2008-10-16
Last Update Date2008-10-16
Business Address
-- DAVID J BROCK
1020 LONG BLVD 5
LANSING, MI 48911-6896
Phone number: 517-420-6123
Mailing Address
-- DAVID J BROCK
1538 STONEY PT
LANSING, MI 48917-1450
Phone number: 517-323-8395
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