Individual
MS. CAROLINE HONORA STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, CCTP, CADC
Contact information
Practice address
443 HIGHWAY 105, PALMER LAKE, CO 80133-9003
(719) 884-0063
Mailing address
443 HIGHWAY 105, PALMER LAKE, CO 80133-9003
(719) 884-0063
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
0009923449
CO
Other
Enumeration date
02/28/2021
Last updated
02/28/2021
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