Individual
ANTHONY STORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1695 MAIN ST FL 400, SPRINGFIELD, MA 01103-1063
(413) 739-5572
(413) 739-9972
Mailing address
1695 MAIN ST FL 400, SPRINGFIELD, MA 01103-1063
(413) 739-5572
(413) 739-9972
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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