GREGORY M STOCKDALE

NEWARK, OH
NPI1780187211
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OH  165824)
Enumeration Date2018-03-12
Last Update Date2018-03-17
Business Address
GREGORY M STOCKDALE
62 E STEVENS ST
NEWARK, OH 43055-5969
Phone number: 740-366-7303
Mailing Address
GREGORY M STOCKDALE
62 E STEVENS ST
NEWARK, OH 43055-5969
Phone number: 740-366-7303
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