Individual
DANA LEACOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9975 MEDICAL CENTER DR, ROCKVILLE, MD 20850-3316
(301) 424-5200
Mailing address
14439 PEBBLESTONE DR, SILVER SPRING, MD 20905-5978
(240) 464-3888
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041S0200X
School Social Worker
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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