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DOROTHY BROCK PHD

>> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1780348128

Individual Registrant:
 DOROTHY  BROCK PHD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
63 SPRINGS STATION DR  FRANKLIN SPRINGS, GA 30639 US
Tel: 706-246-0733  Fax: --

Contact information for business:
63 SPRINGS STATION DR  FRANKLIN SPRINGS, GA 30639 US
Tel: 706-246-0733  Fax: --

Registration Information:
NPI: 1780348128
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103T00000XBehavioral Health & Social Service Providers
Psychologist
GAPSY001566

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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