Stacy Stokes Melton LCSW

NPI 1760410211 - Social Worker - 104100000X

NPI Details
NPI 1760410211
Gender Female
Enumeration Date 06/30/2006
Last Updated 05/19/2016
Entity Type Individual
Active Over 10 years ago
Practice Location
612 N 11TH ST
STE B
QUINCY IL, 62301-2662, US
Phone (217) 224-9484
Fax (217) 224-7894
Business Location
612 N 11TH ST
QUINCY IL, 62301-2662, US
Phone (217) 224-9484
Fax (217) 224-7894
Toxanomy
Taxonomy Code 104100000X
License State Illinois
License Number 149006584
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According to our database, Stacy Stokes Melton LCSW NPI is 1760410211, taxonomy code is 104100000X and license number is 149006584, license state is located at Illinois. Stacy Stokes Melton LCSW physically located at 612 N 11th St, Quincy IL, 62301-2662. NPI Number Stacy Stokes Melton LCSW has the Individual type.

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1760410211 NPI number is provided on an as is basis without warranty of any kind. 1760410211 is maintained by the National Plan & Provider Enumeration System. The contents of Stacy Stokes Melton LCSW are for informational purposes only.