Individual
STACEY BAXTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
903 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(240) 620-1456
Mailing address
4853 CORDELL AVE APT 905, BETHESDA, MD 20814-3024
(240) 620-1456
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LG50083816
DC
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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