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Organization

DR. LESLIE DONNELLY AND ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LESLIE DONNELLY (LICENSED PSYCHOLOGIST)
(410) 742-7160
Entity
Organization

Contact information

Practice address
116 W MAIN ST, SUITE 201, SALISBURY, MD 21801-4905
(410) 742-7160
(410) 546-1048
Mailing address
PO BOX 1627, SALISBURY, MD 21802-1627
(410) 742-7160
(410) 546-1048

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103TC1900X
Counseling Psychologist
Primary
03248
MD
1041C0700X
Clinical Social Worker
08692
MD
1041C0700X
Clinical Social Worker
111175
MD
106H00000X
Marriage & Family Therapist

Other

Enumeration date
02/11/2013
Last updated
10/16/2014
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