Individual
DR. AMANDA MARIE LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
22655 WASHINGTON ST, LEONARDTOWN, MD 20650-3848
(301) 690-8008
Mailing address
6050 HILLSIDE RD, ST LEONARD, MD 20685
(443) 624-6285
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
107687
TX
1041C0700X
Clinical Social Worker
Primary
19793
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589561802
—
MD
Enumeration date
05/14/2014
Last updated
05/19/2023
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