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1154332013
STACEY DIANE BLACK
HAGERSTOWN, MD
NPI
1154332013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 09944)
Enumeration Date
2006-08-10
Last Update Date
2007-07-09
Business Address
-- STACEY DIANE BLACK LCSW-C
24 N WALNUT ST SUITE 300
HAGERSTOWN, MD 21740-4738
Phone number: 301-766-7600
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Mailing Address
-- STACEY DIANE BLACK LCSW-C
24 N WALNUT ST SUITE 300
HAGERSTOWN, MD 21740-4738
Phone number:
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