Individual
TRACEY STILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC/AD
Contact information
Practice address
1330 MCCORMICK DR, LARGO, MD 20774-5398
(301) 772-1200
Mailing address
1330 MCCORMICK DR, LARGO, MD 20774-5398
(301) 772-1200
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC2119
MD
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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