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Individual

NATASHA LEAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
9801 LARSON PLACE, WALDORF, MD 20603
(919) 414-9483
Mailing address
903 BRIGHTSEAT RD, LANDOVER, MD 20785-4725
(919) 414-9483

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
28172
MD

Other

Enumeration date
09/07/2022
Last updated
09/07/2022
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