Individual
STEPHANIE DOLORES TAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LGSW, CAC-AD
Contact information
Practice address
421 FALLSWAY, BALTIMORE, MD 21202-4800
(410) 837-5533
Mailing address
3323 LYNDALE AVE, BALTIMORE, MD 21213-1609
(410) 327-8109
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
AC1718
MD
104100000X
Social Worker
Primary
17226
MD
Other
Enumeration date
05/16/2013
Last updated
05/16/2013
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