Individual
MATTIE WEEMS STOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
1119 RIVERBOAT CT, ANNAPOLIS, MD 21409-5438
(410) 610-0416
Mailing address
1119 RIVERBOAT CT, ANNAPOLIS, MD 21409-5438
(410) 610-0416
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
15205
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589561803
—
MD
Enumeration date
08/25/2009
Last updated
08/30/2016
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