DR. Toni Allayne Boulware Stackhouse
NPI #1578102174 in Havre De Grace, Maryland
Provider Information
- NPI Number
- 1578102174
- Entity Type
- Individual
- Name
- DR. Toni Allayne Boulware Stackhouse
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Dec 30, 2019
- Last Updated
- Dec 30, 2019
Practice Location
- Address
- 304 TECUMSEH WAY
- City
- Havre De Grace
- State
- Maryland
- ZIP Code
- 21078-2870
- Phone
- (443) 226-5495
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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