Individual
DR. BERNICE FOREMAN STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COUNSELOR
Contact information
Practice address
196 W LIBERTY AVE, LYONS, GA 30436-1412
(912) 526-6777
Mailing address
202 WELLS DR, VIDALIA, GA 30474-6108
(912) 537-1988
(912) 526-6783
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005862
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC005862
LICENSE PROFESSIONAL COUNSELOR
—
Enumeration date
02/11/2010
Last updated
02/11/2010
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