Individual
LEAH MARIE VANDERMARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 3RD ST NE, WASHINGTON, DC 20002-6274
(616) 835-1075
Mailing address
1140 3RD ST NE, WASHINGTON, DC 20002-6274
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC500811224
DC
Other
Enumeration date
02/29/2020
Last updated
03/28/2020
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