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Individual

MARY M LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1509 RITCHIE HWY STE F, ARNOLD, MD 21012-2742
(410) 757-2077
(410) 757-5184
Mailing address
1509 RITCHIE HWY STE F, ARNOLD, MD 21012-2742
(410) 757-2077
(410) 757-5184

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
01090
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01090
MD LICENSE
MD
Enumeration date
04/09/2009
Last updated
04/09/2009
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