Individual
MRS. LISA MARIE STALNAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 MADISON PARK DR, GLEN BURNIE, MD 21061-5881
(410) 903-6483
Mailing address
322 ROOSEVELT AVE, GLEN BURNIE, MD 21061-3832
(443) 875-8299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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