Tonya Renee Brock, BSW, DS
Tonya Renee Brock, BSW, DS is an Early Intervention Provider Agency in Supply, North Carolina. Practices as a sole proprietor. Licensed in West Virginia.
- Licensed in
- WV
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
816 Shipley Way SWSupply, NC 28462-6089
Phone: (304) 590-2459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Early Intervention Provider Agency (primary) | Taxonomy 252Y00000X (WV) |
|---|---|
| Developmental Therapist | Taxonomy 222Q00000X |
Record details
| NPI number | 1295005635 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | BSW , DS |
| Sole proprietor | Yes |
| NPI enumerated | January 2, 2012 |
| Last updated in NPPES | July 9, 2024 |
| Certification date | July 9, 2024 |