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1225735160
TODD STORK
ROCHESTER, NY
NPI
1225735160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY P6377)
Enumeration Date
2023-02-10
Last Update Date
2023-02-10
Business Address
TODD STORK
556 CLINTON AVE S
ROCHESTER, NY 14620-1105
Phone number: 585-442-8422
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Mailing Address
TODD STORK
79 GLENRIDGE RD
GLENVILLE, NY 12302-4528
Phone number:
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