Individual
MR. PHILLIP DANIEL STOCKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4145 COLUMBIA RD, MARTINEZ, GA 30907-5400
(706) 869-7373
(706) 869-7380
Mailing address
4145 COLUMBIA RD, MARTINEZ, GA 30907-5400
(706) 869-7373
(706) 869-7380
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/26/2009
Last updated
01/26/2009
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