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General NPI Number Information
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NPI Number | 1235008129
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Entity Type | Individual
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Provider Name | MADISYN INEZ STOCKLEY LGPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 306 W PULASKI HWY
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City | ELKTON
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State | MD
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Zip | 21921-5217
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Country | US
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Telephone | 410-686-3629
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Fax |
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Provider Business Mailing Address
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Address Line | 554 LANCASTER AVE APT 408
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City | MALVERN
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State | PA
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Zip | 19355-2080
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Country | US
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Telephone | 814-381-8581
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LGP17202
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License Number State | MD
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