Individual
MR. RICKEY EUGENE STOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BACHELOR OF SCIENCE
Contact information
Practice address
1800 GRINDLEY, SUITE 3, DEARBORN, MI 48124
(313) 277-1166
Mailing address
PO BOX 5518, DETROIT, MI 48205-0518
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2012
Last updated
10/31/2012
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