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Contact Information

STEFANIE CLARK, LGPC
1208 E CHURCHVILLE RD
BEL AIR, MD21014-3442
 Phone: 410-893-4600
 Fax: 443-640-4358
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for STEFANIE CLARK · (Female)

NPI Number 1376004531
Status Active
Credentials LGPC
Entity Individual
Enumeration date 03/28/2019
Last updated 03/28/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • MD License # LGP9316
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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