| Stacie Raltiff, Lcsw-c | |
|
23806 Bennett Chase Dr Clarksburg MD 20871-5316 | |
| (301) 639-4180 | |
| Not Available |
| Full Name | Stacie Raltiff, Lcsw-c |
|---|---|
| Speciality | Social Worker |
| Location | 23806 Bennett Chase Dr, Clarksburg, Maryland |
| Authorized Official Name and Position | Stacie Ratliff (OWNER) |
| Authorized Official Contact | 3016394180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacie Raltiff, Lcsw-c 23806 Bennett Chase Dr Clarksburg MD 20871-5316 Ph: (301) 639-4180 | Stacie Raltiff, Lcsw-c 23806 Bennett Chase Dr Clarksburg MD 20871-5316 Ph: (301) 639-4180 |
| NPI Number | 1679188338 |
|---|---|
| Provider Enumeration Date | 09/10/2020 |
| Last Update Date | 09/10/2020 |
| Certification Date | 09/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679188338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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