Individual
STACY LYNN DOAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
82 W WASHINGTON ST STE 307, HAGERSTOWN, MD 21740-4889
(301) 500-0865
Mailing address
7 BUNNY LN, KEEDYSVILLE, MD 21756-1319
(240) 625-7959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP11414
MD
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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