Organization
STACIE RALTIFF, LCSW-C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE RATLIFF LCSW-C (OWNER)
(301) 639-4180
Entity
Organization
Contact information
Practice address
23806 BENNETT CHASE DR, CLARKSBURG, MD 20871-5316
(301) 639-4180
Mailing address
23806 BENNETT CHASE DR, CLARKSBURG, MD 20871-5316
(301) 639-4180
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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