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Individual
MRS. EILEEN T LEIBER
Active
Individual
MRS. EILEEN T LEIBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05540
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05540
MD LICENSURE
MD
Enumeration date
05/19/2010
Last updated
05/19/2010
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