Individual
DESIRE' S STOKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5784 GA HIGHWAY 202, THOMASVILLE, GA 31757-1007
(229) 551-9571
Mailing address
5784 GA HIGHWAY 202, THOMASVILLE, GA 31757-1007
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005912
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
448621104A
—
GA
Enumeration date
02/15/2007
Last updated
07/08/2007
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