Most Relevant Information
Provider Data
| NPI Number: | 1003400227 |
| Provider Name: | CAROLINE HONORA STORK LSW, CCTP, CADC |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 0009923449 |
Most Important Dates
| Enumeration Date: | 02/28/2021 |
| Last Updated: | 02/28/2021 |
Provider Practice Location
443 HIGHWAY 105
PALMER LAKE
CO
801339003
Practice Location Phone/Fax
| Phone: | 7198840063 |
| Fax: |
Provider Mailing Location
443 HIGHWAY 105
PALMER LAKE
CO
801339003
Provider Mailing Phone/Fax
| Phone: | 7198840063 |
| Fax: |