Individual
SIMON STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 COUNTRY CLUB RD SE, CORYDON, IN 47112-1705
(812) 280-2080
Mailing address
5540 LINCOLN SPRINGS RD NW, DEPAUW, IN 47115-9143
(812) 347-3417
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/08/2008
Last updated
12/08/2008
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