Individual
STEPHANIE YVETTE LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 MEDICAL CENTER DR STE 200, LARGO, MD 20774-3707
(301) 276-2606
(240) 823-9331
Mailing address
13221 POPPY HILL CT, BRANDYWINE, MD 20613-5727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP10732
MD
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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