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1588609333
LEONARD R DEROGATIS
BALTIMORE, MD
NPI
1588609333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MD 00463)
Enumeration Date
2006-06-17
Last Update Date
2007-07-08
Business Address
-- LEONARD R DEROGATIS Ph.D.
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-5104
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Mailing Address
-- LEONARD R DEROGATIS Ph.D.
PO BOX 64260
BALTIMORE, MD 21264-4260
Phone number:
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