Individual
HEATHER STACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4752 BAND HALL HILL RD, WESTMINSTER, MD 21158-1743
(410) 382-8357
Mailing address
4752 BAND HALL HILL RD, WESTMINSTER, MD 21158-1743
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MD
Other
Enumeration date
03/26/2021
Last updated
03/26/2021
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