MR. Charles Wayne Stocker, M ED

NPI #1083784953 in Glen Carbon, Illinois

Provider Information

NPI Number
1083784953
Entity Type
Individual
Name
MR. Charles Wayne Stocker, M ED
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Marriage & Family Therapist
Credential
M ED
Enumeration Date
Nov 8, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4A COUNTRY CLUB EXECUTIVE PARK
ZIP Code
62034-1702
Phone
(618) 288-0055

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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