# CARLA A. LEONARD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700217767
- **Authorized official:** CARLA LEONARD (NURSE PSYCHOTHERAPIST)
- **Authorized official phone:** (410) 903-2806

## Contact information

- **Practice address:** 1206 REGAL LN, CROWNSVILLE, MD 21032-1404
- **Practice address phone:** (410) 903-2806
- **Mailing address:** 1206 REGAL LN, CROWNSVILLE, MD 21032-1404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0807X | Child & Adolescent Psychiatric/Mental Health Registered Nurse | R094983 | MD | Yes |

## Other

- **Enumeration date:** 12/02/2013
- **Last updated:** 12/02/2013