Individual
MRS. TIFFANY BOONE LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
9325 CREEK LN, CHESTERTOWN, MD 21620
(410) 778-6565
(410) 778-1448
Mailing address
210 OLD WHARF LN, QUEENSTOWN, MD 21658-1250
(410) 353-8315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
03729
MD
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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