Organization
CARLA A. LEONARD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA LEONARD (NURSE PSYCHOTHERAPIST)
(410) 903-2806
Entity
Organization
Contact information
Practice address
1206 REGAL LN, CROWNSVILLE, MD 21032-1404
(410) 903-2806
Mailing address
1206 REGAL LN, CROWNSVILLE, MD 21032-1404
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
R094983
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
462000300
—
MD
Enumeration date
12/02/2013
Last updated
12/02/2013
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