Individual
STACIE WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
101 CLARKE PL, FREDERICK, MD 21701-6529
(301) 360-2045
Mailing address
15474 NORWOOD AVE, BLUE RIDGE SUMMIT, PA 17214-9738
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03145
MD
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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