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Kan'Dace Len Brock, LMSW

Social Worker in San Antonio, TX. Individual provider (NPI-1).

NPI number1164072401
StatusActive
Last updated in NPPESSep 18, 2019

Details

NPI
1164072401
Entity type
Individual (NPI-1)
Name
Kan'Dace Len Brock
Credential
LMSW
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 18, 2019
Last updated
Sep 18, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker54904TXYes

Practice location

7126 Watertrout Bay
San Antonio, TX 78244-1778

Phone 817-291-6942

Mailing address

7126 Watertrout Bay
San Antonio, TX 78244-1778

Phone 817-291-6942

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