MR. Terry Lee Coryell Stotler, MSW, BCD

NPI #1306904875 in Edwards, California

Provider Information

NPI Number
1306904875
Entity Type
Individual
Name
MR. Terry Lee Coryell Stotler, MSW, BCD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Social Worker - Clinical
Credential
MSW, BCD
Enumeration Date
Dec 5, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
6719 DOOLITTLE DR
ZIP Code
93523-2105
Phone
(661) 272-2183

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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