Stacy Wilson

NPI #1235016676 in Severn, Maryland

Provider Information

NPI Number: 1235016676
Entity Type: Individual
Name: Stacy Wilson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: Aug 18, 2025
Last Updated: Oct 7, 2025

Practice Location

Address: 8641 PIONEER DR
City: Severn
State: Maryland
ZIP Code: 21144-3008
Phone: (716) 710-2343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

Additional Practice Locations

3635 Bell Blvd Ste 203

Bayside, NY, 11361-2097

(718) 504-9256

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