Individual
DR. TONI ALLAYNE BOULWARE STACKHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
304 TECUMSEH WAY, HAVRE DE GRACE, MD 21078-2870
(443) 226-5495
Mailing address
304 TECUMSEH WAY, HAVRE DE GRACE, MD 21078-2870
(443) 226-5495
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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