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1891100467
STACY GILLEN
ANNAPOLIS, MD
NPI
1891100467
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 18944)
Enumeration Date
2014-06-23
Last Update Date
2023-04-25
Business Address
STACY GILLEN LCSW-C
108 OLD SOLOMONS ISLAND RD STE A
ANNAPOLIS, MD 21401-0920
Phone number: 443-214-5097
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Mailing Address
STACY GILLEN LCSW-C
185 ADMIRAL COCHRANE DR STE 120
ANNAPOLIS, MD 21401-7600
Phone number: 443-440-5788
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