Individual
CHARMAINE NICOLE STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 MERCANTILE LN STE 198, LARGO, MD 20774-5339
(240) 604-3615
Mailing address
5023 RIVERDALE RD APT 206, RIVERDALE PARK, MD 20737-1944
(240) 604-3615
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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