PHILLIP DANIEL STOCKARD

MARTINEZ, GA
NPI1609014802
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2009-01-26
Last Update Date2009-01-26
Business Address
MR. PHILLIP DANIEL STOCKARD
4145 COLUMBIA RD
MARTINEZ, GA 30907-5400
Phone number: 706-869-7373
Mailing Address
MR. PHILLIP DANIEL STOCKARD
4145 COLUMBIA RD
MARTINEZ, GA 30907-5400
Phone number: 706-869-7373
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