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Individual

STACY LYNEE EMBRACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1401 MERCANTILE LN STE 485, UPPER MARLBORO, MD 20774-4301
(301) 996-9884
Mailing address
14905 HEALTH CENTER DR APT 365, BOWIE, MD 20716-1129

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
MD

Other

Enumeration date
10/30/2020
Last updated
10/30/2020
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