Individual
KATHRYN E STAPLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
808 LANDMARK DR STE 231, GLEN BURNIE, MD 21061-4985
(667) 600-2494
Mailing address
320 OLD FORGE LN APT 4203, ODENTON, MD 21113-2983
(410) 919-3476
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
26592
MD
Other
Enumeration date
08/16/2021
Last updated
01/20/2026
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