JACK FREDRIC LEIDERMAN

ROCKVILLE, MD
NPI1033267802
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MD  07933)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: VA  0904004377)
1041C0700X Social Worker, Clinical
(Licence: DC  LC302377)
Enumeration Date2007-01-08
Last Update Date2007-07-08
Business Address
Mr. JACK FREDRIC LEIDERMAN LCSW-C
12 S ADAMS ST 2ND FLOOR
ROCKVILLE, MD 20850-4238
Phone number: 240-731-5353
Mailing Address
Mr. JACK FREDRIC LEIDERMAN LCSW-C
PO BOX 10475
ROCKVILLE, MD 20849-0475
Phone number: 240-731-5353
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