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Individual

STACEY A SOKOL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6963
(319) 356-2587
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6963
(319) 356-2587

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
077280
IA
1041C0700X
Clinical Social Worker
077280
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0600585
IA
01
160058
MEDICARE
IA
01
60058
BC-BS
IA
Enumeration date
10/27/2016
Last updated
10/26/2022
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