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Individual

SUSAN MORGAN STORK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCPC, NCC

Contact information

Practice address
1501 SULGRAVE AVE STE 200A, BALTIMORE, MD 21209-4595
(443) 527-2042
Mailing address
1501 SULGRAVE AVE STE 200A, BALTIMORE, MD 21209-4595
(443) 527-2042

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LC6380
MD
251S00000X
Community/Behavioral Health Agency
LC6380
MD

Other

Enumeration date
07/14/2015
Last updated
08/07/2019
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