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1285213843
LEISTIKOWMD LLC
BALTIMORE, MD
NPI
1285213843
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Entity Type
Organization
Authorized Contact
NICOLE LEISTIKOW
Owner
443-799-9384
Organization Subpart ?
No
Primary Taxonomy
261QM0850X Clinic/Center, Adult Mental Health
Enumeration Date
2021-04-02
Last Update Date
2022-02-08
Business Address
LEISTIKOWMD LLC
600 WYNDHURST AVE STE 305E
BALTIMORE, MD 21210-2489
Phone number: 443-459-1840
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Mailing Address
LEISTIKOWMD LLC
600 WYNDHURST AVE STE 305E
BALTIMORE, MD 21210-2489
Phone number: 443-799-9384
Copy
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