Brock, Brenda

Brock, Brenda is an individual health care provider with primary practice located at 300 Ocean Ave , Raymond WA 98577-3016. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Brock, Brenda can be contacted via phone (360) 942-2303.

Contact Information

Primary practice address
300 Ocean Ave Raymond WA 98577-3016
Phone: (360) 942-2303
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CG60898113 Washington

Profile Details

NPI number 1396215562
LBN Legal business name Brock, Brenda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2018
Last updated Nov 30th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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