Individual
CANDICE N STOCKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1507 ROSER DR, CARMI, IL 62821-2229
(618) 384-9969
Mailing address
404 4TH ST, CARMI, IL 62821-1235
(618) 383-5688
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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