DAPHINE LEAKE

TIMONIUM, MD
NPI1942663356
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MD  SC1763)
Enumeration Date2016-04-01
Last Update Date2016-04-01
Business Address
-- DAPHINE LEAKE
1925 GREENSPRING DR
TIMONIUM, MD 21093-4128
Phone number: 410-453-9553
Mailing Address
-- DAPHINE LEAKE
1925 GREENSPRING DR
TIMONIUM, MD 21093-4128
Phone number:
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