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1164776969
ELISABETH LEATHERMAN
BALTIMORE, MD
NPI
1164776969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: MD LC3570)
Enumeration Date
2012-10-31
Last Update Date
2012-10-31
Business Address
-- ELISABETH LEATHERMAN LCPC
239 N GAY ST
BALTIMORE, MD 21202-4822
Phone number: 410-596-8879
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Mailing Address
-- ELISABETH LEATHERMAN LCPC
6707 WHITESTONE RD SUITE 106
GWYNN OAK, MD 21207-4106
Phone number: 410-896-8879
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