Individual
MS. TIFFANY STOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1719 MARTIN LUTHER KING BLVD, HOPKINS, SC 29061-9613
(803) 201-1841
Mailing address
1719 MARTIN LUTHER KING BLVD, HOPKINS, SC 29061-9613
(803) 201-1841
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
SC
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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