Organization
JIMIA STOKES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BROWN (MANAGER)
(423) 903-9761
Entity
Organization
Contact information
Practice address
8627 SADDLEBRED CT, FRANKFORT, IL 60423-8618
(708) 439-5386
Mailing address
8627 SADDLEBRED CT, FRANKFORT, IL 60423-8618
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178012538
IL
Other
Enumeration date
01/16/2017
Last updated
01/16/2017
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