Individual
MR. MICHAEL EVAN STAHLY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LGSW
Contact information
Practice address
6310 STEVENS FOREST RD, COLUMBIA, MD 21046-1036
(301) 801-2418
Mailing address
5410 LIGHTNING VIEW RD, COLUMBIA, MD 21045-2244
(301) 801-2418
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
22134
MD
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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