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Organization
MINDFUL MARRIAGE AND FAMILY THERAPY, LLC
Active
Organization
MINDFUL MARRIAGE AND FAMILY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LESLEE SOPHIA BRY LCMFT (OWNER)
(301) 514-8120
Entity
Organization
Contact information
Practice address
120 W CHURCH ST STE 3B, FREDERICK, MD 21701-7813
(301) 281-4963
Mailing address
5257 BUCKEYSTOWN PIKE # 123, FREDERICK, MD 21704-7535
(301) 514-8120
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
LCM570
MD
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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