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1942663356
DAPHINE LEAKE
TIMONIUM, MD
NPI
1942663356
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD SC1763)
Enumeration Date
2016-04-01
Last Update Date
2016-04-01
Business Address
-- DAPHINE LEAKE
1925 GREENSPRING DR
TIMONIUM, MD 21093-4128
Phone number: 410-453-9553
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Mailing Address
-- DAPHINE LEAKE
1925 GREENSPRING DR
TIMONIUM, MD 21093-4128
Phone number:
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