Brock Wirtz

NPI #1386883635 in Cerritos, California

Provider Information

NPI Number: 1386883635
Entity Type: Individual
Name: Brock Wirtz
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Feb 10, 2009
Last Updated: Feb 10, 2009

Practice Location

Address: 17707 STUDEBAKER RD
City: Cerritos
State: California
ZIP Code: 90703-2640
Phone: (562) 402-0677

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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