Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | C006945 | NC |
NPI | 1003087339 |
---|---|
Provider Name | Ms. Jeane H Bock |
First Address | Chapel Hill, NC 27516-4070 |
Second Address | Chapel Hill, NC 27516-4070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2008 |
Last Update Date | 22/02/2019 |