Individual
KATHRYN ANN STOECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
148 N SUMMIT AVE, PRESCOTT, AZ 86301-2712
(928) 458-1227
Mailing address
2296 GOLF CLUB LN, PRESCOTT, AZ 86303-6922
(928) 308-4083
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LAC-17397
AZ
Other
Enumeration date
01/23/2019
Last updated
02/11/2024
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