Individual
STACEY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
122 BRENT RD, ARNOLD, MD 21012
(602) 770-0180
Mailing address
122 BRENT RD, ARNOLD, MD 21012-1143
(602) 770-0180
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MD
Other
Enumeration date
05/17/2017
Last updated
12/17/2021
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