Individual
STEPHANIE WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11845 HG TRUEMAN RD, LUSBY, MD 20657-2855
(443) 771-4811
Mailing address
5235 MUDVILLE LN, WALDORF, MD 20602-4219
(301) 455-5792
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
MD
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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