Individual
MISS CHASITY L STACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
6122 REISTERSTOWN RD, BALTIMORE, MD 21215-3423
(410) 919-6229
Mailing address
932 MARTIN RD, ESSEX, MD 21221-5205
(443) 531-6191
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
25575
MD
Other
Enumeration date
06/14/2023
Last updated
07/12/2023
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