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Individual

SHAREA ANGELA LEAVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HAD & SLP

Contact information

Practice address
6565 N CHARLES ST, PPE SUITE 601, BALTIMORE, MD 21204-6800
(410) 821-5151
(410) 823-8309
Mailing address
6565 N CHARLES ST, PPE SUITE 601, BALTIMORE, MD 21204-6800
(410) 821-5151
(410) 823-8309

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01195
MD

Other

Enumeration date
07/23/2010
Last updated
10/01/2015
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