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Individual

HEATHER LEIGH STORK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AM

Contact information

Practice address
208 KING ST, CAMDEN, SC 29020-4720
(803) 432-6902
Mailing address
53 KIMPTON DR, ELGIN, SC 29045-8542
(803) 687-7861

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
05/25/2022
Last updated
05/25/2022
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