Individual
ADRIEN LEACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW-C
Contact information
Practice address
10 W EAGER ST STE 324, BALTIMORE, MD 21201-5743
(443) 420-8037
Mailing address
1504 MCCULLOH ST FL 1, BALTIMORE, MD 21217-3439
(312) 351-3537
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
20646
MD
Other
Enumeration date
10/10/2017
Last updated
12/23/2020
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