Individual
STACIE ROBIN GROGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16110 EVERLY RD, HAGERSTOWN, MD 21740-2384
(301) 714-0837
(301) 223-5719
Mailing address
16110 EVERLY RD, HAGERSTOWN, MD 21740-2384
(301) 991-8815
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AC1612
MD
101YA0400X
Addiction (Substance Use Disorder) Counselor
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Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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