Individual
MS. MONICA MICHELLE LEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A .CCC-SLP
Contact information
Practice address
5980 RADIO STATION RD, LA PLATA, MD 20646-3337
(301) 932-6610
Mailing address
5980 RADIO STATION RD, LA PLATA, MD 20646-3337
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
05827
MD
235Z00000X
Speech-Language Pathologist
5473
NC
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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