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Individual

STEPHANIE COLLINS MASTAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2644 RIVA RD, ANNAPOLIS, MD 21401-7427
(410) 222-5321
Mailing address
3413 SWALLOWTAIL CT, EDGEWATER, MD 21037-2780
(443) 223-1410

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
CER67804Y6H2X0
MD

Other

Enumeration date
10/17/2024
Last updated
10/28/2024
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