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1538285655
STEPHANIE D SMACK
GLEN BURNIE, MD
NPI
1538285655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 11474)
Enumeration Date
2007-03-21
Last Update Date
2007-07-08
Business Address
Mrs. STEPHANIE D SMACK LCSW-C
1419 MADISON PARK DR
GLEN BURNIE, MD 21061-5613
Phone number: 410-768-2719
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Mailing Address
Mrs. STEPHANIE D SMACK LCSW-C
5200 LEITH RD APT C
BALTIMORE, MD 21239-3501
Phone number:
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