| NPI | 1346557402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY R STUBBLEFIELD Lcsw C 240-764-6892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15332) |
| Enumeration Date | 2010-09-09 |
| Last Update Date | 2011-11-07 |