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Individual

CARRIE LEACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LGSW

Contact information

Practice address
6707 WHITESTONE RD STE 106, WOODLAWN, MD 21207-4140
(410) 265-8737
Mailing address
1301 RICHARDSON ST, BALTIMORE, MD 21230-5320
(443) 985-1817

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
16046
MD

Other

Enumeration date
04/25/2014
Last updated
04/25/2014
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