Individual
MRS. STACEY STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
419 W REDWOOD ST, SUITE 570, BALTIMORE, MD 21201-1734
(410) 328-6106
(410) 328-1130
Mailing address
419 W REDWOOD ST, SUITE 570, BALTIMORE, MD 21201-1734
(410) 328-6106
(410) 328-1130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
09812
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PVPB-125560
APS
MD
Enumeration date
03/26/2007
Last updated
07/08/2007
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