Brock, Letha Evelyn
Brock, Letha Evelyn is an individual health care provider with primary practice located at 1220 Main St Ste 400 , Vancouver WA 98660-2963. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Brock, Letha Evelyn can be contacted via phone (360) 335-4401.Contact Information
Primary practice address
1220 Main St Ste 400
Vancouver WA 98660-2963
Phone: (360) 335-4401
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1346858503 |
|---|---|
| LBN Legal business name | Brock, Letha Evelyn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2020 |
| Last updated | Jul 14th, 2020 - about 6 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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