Individual
LEAH RENEE JILLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2028 INDUSTRIAL DR STE B&C, ANNAPOLIS, MD 21401-2916
(410) 934-1473
Mailing address
3911 CHAPEL FORGE DR, BOWIE, MD 20715-1310
(571) 395-1128
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
08/19/2019
Last updated
08/19/2019
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