Individual
STACY WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8641 PIONEER DR, SEVERN, MD 21144-3008
(716) 710-2343
Mailing address
8641 PIONEER DR, SEVERN, MD 21144-3008
(716) 710-2343
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
087943
NY
Other
Enumeration date
08/18/2025
Last updated
10/07/2025
About Stedi
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