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Organization

DR. LESLIE DONNELLY AND ASSOCIATES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE DONNELLY (OWNER)
(410) 742-7160
Entity
Organization

Contact information

Practice address
116-118 WEST MAIN STREET, SUITE 300, 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
03248
MD
1041C0700X
Clinical Social Worker
Primary
111175
MD
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist

Other

Enumeration date
08/21/2014
Last updated
10/22/2014
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