Individual
STEFANIE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGPC
Contact information
Practice address
1208 E CHURCHVILLE RD, BEL AIR, MD 21014-3442
(410) 893-4600
(443) 640-4358
Mailing address
7503 BRYANTOWN LN, BRANDYWINE, MD 20613-5949
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP9316
MD
Other
Enumeration date
03/28/2019
Last updated
03/28/2019
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