Individual
LORI WICKER STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 INDUSTRIAL PARK RD, LUCEDALE, MS 39452-6583
(601) 947-4274
(601) 947-4275
Mailing address
3407 SHAMROCK CT, GAUTIER, MS 39553-5337
(228) 497-0690
(228) 497-1363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00018214
—
MS
Enumeration date
07/07/2022
Last updated
07/07/2022
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