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Individual

MS. BONNIE JO STOKES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LADC

Contact information

Practice address
1885 UNIVERSITY AVE W, SUITE 246, SAINT PAUL, MN 55104-3489
(612) 326-7583
(651) 647-0095
Mailing address
1885 UNIVERSITY AVE W, SUITE 246, SAINT PAUL, MN 55104-3489
(612) 326-7583
(651) 647-0095

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301190
MN

Other

Enumeration date
04/08/2011
Last updated
04/08/2011
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