Brock, Michelle D

Brock, Michelle D is an individual health care provider with primary practice located at 3278 Mitchell Blvd Bldg 900 , Moody Afb GA 31699-1500. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brock, Michelle D can be contacted via phone (229) 257-2778.

Contact Information

Primary practice address
3278 Mitchell Blvd Bldg 900 Moody Afb GA 31699-1500
Phone: (229) 257-2778
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW19816 Florida

Profile Details

NPI number 1588309777
LBN Legal business name Brock, Michelle D
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2022
Last updated Dec 13th, 2022 - about 2 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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