Provider Information for 1558590877
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HILARY ROE STOVER LISW-CP
Sex: Female
NPI: 1558590877
Last Updated: 2014-02-06
Certification Date:
Certification Date:
Details
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NPI | 1558590877 | ||||||||
Enumeration Date | 2009-07-08 | ||||||||
NPI Type | NPI-1 Individual | ||||||||
Sole Proprietor | YES | ||||||||
Status | Active | ||||||||
Mailing Address | 1721 EBENEZER RD SUITE 265 ROCK HILL, SC 29732-4103 United States Phone: 803-329-7778 | Fax: | ||||||||
Primary Practice Address | 1721 EBENEZER RD SUITE 265 ROCK HILL, SC 29732-4103 United States Phone: 803-329-7778 | Fax: | ||||||||
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