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1023399250
LEONARD DAVID ELLENTUCK
ROCKVILLE, MD
NPI
1023399250
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MD 14669)
Enumeration Date
2011-09-01
Last Update Date
2011-09-01
Business Address
Mr. LEONARD DAVID ELLENTUCK MSW
10116 TREBLE CT
ROCKVILLE, MD 20850-3561
Phone number: 240-350-6074
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Mailing Address
Mr. LEONARD DAVID ELLENTUCK MSW
10116 TREBLE CT
ROCKVILLE, MD 20850-3561
Phone number: 240-350-6074
Copy
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