Individual
THERESA STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-2018
Mailing address
3446 PLEASANT DR, BETTENDORF, IA 52722-3947
(309) 737-1903
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/03/2021
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