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Individual

SHAQUILLE STOKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1709 BRAGAW ST, ANCHORAGE, AK 99508-3436
(907) 792-9145
Mailing address
6135 E TUDOR RD APT 2, ANCHORAGE, AK 99507-1234

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
10/04/2021
Last updated
10/04/2021
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