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Individual

DR. STACY BIANCA WOODS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
16220 S FREDERICK AVE STE 308, GAITHERSBURG, MD 20877-4020
(301) 840-1077
(301) 948-6199
Mailing address
16220 S FREDERICK AVE STE 308, GAITHERSBURG, MD 20877-4020
(301) 840-1077
(301) 948-6199

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0053572
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2119312
MAMSI LIFE AND HEALTH
MD
Enumeration date
03/27/2007
Last updated
07/08/2007
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