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1255974804
LORI STOCK
FORT WAYNE, IN
NPI
1255974804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IN 34007930A)
Enumeration Date
2019-10-25
Last Update Date
2020-08-27
Business Address
LORI STOCK
4306 E STATE BLVD
FORT WAYNE, IN 46815-6915
Phone number: 260-460-3203
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Mailing Address
LORI STOCK
4122 BOCA TRL
FORT WAYNE, IN 46815-5779
Phone number: 260-341-4113
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