Individual
SAMANTHA STANFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10024 STEDWICK RD, MONTGOMERY VILLAGE, MD 20886-3714
(240) 535-4153
Mailing address
10024 STEDWICK RD, MONTGOMERY VILLAGE, MD 20886-3714
(240) 535-4153
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP13804
MD
Other
Enumeration date
04/21/2023
Last updated
04/21/2023
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