| NPI | 1760410211 |
|---|---|
| Former Name | STACY L STOKES-MELTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149-006584) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149006584) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2006034644) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2016-05-19 |