Individual
KELLY SYMONE STOCKDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1884 FARMINGTON RD, EAST CLEVELAND, OH 44112-4744
(216) 972-7784
Mailing address
1884 FARMINGTON RD, EAST CLEVELAND, OH 44112-4744
(216) 972-7784
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
01/14/2022
Last updated
02/05/2024
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