Deziree Mya Brock
Deziree Mya Brock is a Counselor in Corvallis, Oregon. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
4455 NE Highway 20Corvallis, OR 97330-9695
Phone: (541) 758-5900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1730797820 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 15, 2020 |
| Last updated in NPPES | July 15, 2020 |
| Certification date | July 15, 2020 |
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4455 NE Highway 20, Corvallis, OR 97330-9695 · (541) 758-5900
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4455 NE Highway 20, Corvallis, OR 97330-9695 · (541) 758-5900