Doctor Name: | STACEY LEE HAMRO |
NPI Number: | 1003131772 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCWC-C |
License Number: | 09106 |
Business Practice Address: | 6940 S Carlinda Ave Columbia, MD - 210461310 |
Business Phone Number: | 4102925073 |
Business Fax Number: | |
Mailing Address: | 6940 S Carlinda Ave, COLUMBIA |
State: | MD |
Postal Code: | 210461310 |
Phone Number: | 4102925073 |
Fax Number: | |
NPI Enumeration Date: | 04/06/2010 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 09106 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |