Individual
STEPHANIE MICHELL ROTHENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 W 7TH ST, FREDERICK, MD 21701
(301) 345-1022
Mailing address
7474 GREENWAY CENTER DR STE 730, GREENBELT, MD 20770-3523
(301) 345-1022
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23979
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609550001
—
MD
Enumeration date
09/11/2017
Last updated
07/10/2018
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