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Organization

LEADING BY EXAMPLE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHNNIE LOUIS FIELDING (PROGRAM DIRECTOR)
(410) 780-2692
Entity
Organization

Contact information

Practice address
5026 CAMPBELL BLVD STE H, NOTTINGHAM, MD 21236-5051
(410) 780-2692
(410) 780-2692
Mailing address
5026 CAMPBELL BLVD STE H, NOTTINGHAM, MD 21236-5051
(410) 780-2692
(410) 780-2692

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/23/2018
Last updated
09/28/2020
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