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Organization
VETALI THERAPY LLC
Active
Organization
VETALI THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLY LEMUS LCSW-C (MANAGING MEMBER)
(908) 377-2725
Entity
Organization
Contact information
Practice address
603 7TH ST STE 303, LAUREL, MD 20707-3959
(240) 554-0004
Mailing address
603 7TH ST STE 303, LAUREL, MD 20707-3959
(240) 554-0004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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