Individual
SANDRA L STORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RC
Contact information
Practice address
6760 MISSION RD, EVERSON, WA 98247-9749
(360) 966-2106
(360) 966-7227
Mailing address
PO BOX 157, DEMING, WA 98244-0157
(360) 966-2106
(360) 966-7227
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
RC00013533
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1981018
—
WA
Enumeration date
08/14/2008
Last updated
08/14/2008
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