Provider Demographics
NPI:1619341229
Name:STOKES, MAURICIA
Entity Type:Individual
Prefix:
First Name:MAURICIA
Middle Name:
Last Name:STOKES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2037 E 51ST PL
Mailing Address - Street 2:APT. C
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74105-5518
Mailing Address - Country:US
Mailing Address - Phone:918-896-1588
Mailing Address - Fax:
Practice Address - Street 1:2325 S. HARVARD AVE
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OKLAHOMA
Practice Address - Zip Code:74112
Practice Address - Country:UM
Practice Address - Phone:918-896-1588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-19
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker