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Individual

MARISSA STOKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LSW

Contact information

Practice address
2302 EDGMONT AVE, CHESTER, PA 19013-5038
(267) 428-3511
(215) 330-5293
Mailing address
1216 ARCH ST FL 6, PHILADELPHIA, PA 19107-2835
(215) 981-3338

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1036887700001
PA
Enumeration date
03/18/2020
Last updated
06/30/2020
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