Individual
STEPHANIE MICHELLE KULDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12100 RARITAN LN, BOWIE, MD 20715-3217
(443) 752-3813
(443) 752-3813
Mailing address
12100 RARITAN LN, BOWIE, MD 20715-3217
(443) 752-3813
(443) 752-3813
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
23950
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
609500300
—
MD
05
—
609550001
—
MD
Enumeration date
09/08/2016
Last updated
06/11/2024
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