Provider Information for 1922683572
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AMANDA STOKES LPC
Sex: Female
NPI: 1922683572
Last Updated: 2023-06-14
Certification Date: 2023-06-14
Certification Date: 2023-06-14
Details
| Name | Value | ||||||||||||
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| NPI | 1922683572 | ||||||||||||
| Enumeration Date | 2021-03-16 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 212 EMERALD CIR BRANDON, MS 39047-6392 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 212 EMERALD CIR BRANDON, MS 39047-6392 United States Phone: 601-824-0334 | Fax: | ||||||||||||
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