Stack, Tara K.
Stack, Tara K. is an sole proprietor health care provider with primary practice located at 16701 Melford Blvd Ste 400 , Bowie MD 20715-4411. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Stack, Tara K. can be contacted via phone (415) 424-4266.Contact Information
Primary practice address
16701 Melford Blvd Ste 400
Bowie MD 20715-4411
Phone: (415) 424-4266
Fax: (415) 520-6633
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 19551 | Maryland |
Profile Details
| NPI number | 1417354523 |
|---|---|
| LBN Legal business name | Stack, Tara K. |
| Credentials | MSW, LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 4th, 2014 |
| Last updated | Apr 18th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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