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Individual

CHARLES LEE STITT JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
9250 GAITHER RD, GAITHERSBURG, MD 20877-1420
(484) 965-9966
(484) 231-8631
Mailing address
640 FREEDOM BUSINESS CTR DR STE 220, KING OF PRUSSIA, PA 19406-1376

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
MD

Other

Enumeration date
05/09/2025
Last updated
05/09/2025
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