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NPI Code Detail

MEDICARE: MRS. OLIVIA JOY STOKER LCSW

MEDICARE: MRS. OLIVIA JOY STOKER LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker

General Provider Information

NPI Number : 1003210923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. OLIVIA JOY STOKER LCSW
Provider Business Mailing Address
First Line : 2520 SAINT ROSE PKWY STE 310
Second Line :
City : HENDERSON
State : NV
Zip : 89074-7790
Country : US
Telephone Number : 702-496-6562
Fax Number :
Provider Business Practice Location Address
First Line : 2520 SAINT ROSE PKWY STE 310
Second Line :
City : HENDERSON
State : NV
Zip : 89074-7790
Country : US
Telephone Number : 702-496-6562
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2014
Last Update Date : 12/12/2023

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