Individual
STACY MARIE WALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
445 PEMBROOKE BLVD, BALTIMORE, MD 21224-1909
(443) 847-5039
Mailing address
445 PEMBROOKE BLVD, BALTIMORE, MD 21224-1909
(443) 847-5039
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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