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1497467641
LEADETH STILLWATERS
WASHINGTON, DC
NPI
1497467641
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Entity Type
Organization
Authorized Contact
FATIMA MUNA KOROMA
CEO
571-277-1111
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2022-12-20
Last Update Date
2024-08-06
Business Address
LEADETH STILLWATERS
712 H ST NE STE 1628
WASHINGTON, DC 20002-3627
Phone number: 301-265-5922
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Mailing Address
LEADETH STILLWATERS
1805 ROCHELLE CT
WOODBRIDGE, VA 22192-5632
Phone number: 571-277-1111
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