TRACI STOCKHAM

SAN BERNARDINO, CA
NPI1093247215
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-03-28
Last Update Date2017-03-28
Business Address
-- TRACI STOCKHAM
1925 W COLLEGE AVE APT 185
SAN BERNARDINO, CA 92407-3371
Phone number: 909-648-4186
Mailing Address
-- TRACI STOCKHAM
1925 W COLLEGE AVE APT 185
SAN BERNARDINO, CA 92407-3371
Phone number: 909-648-4186
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