NPI 1003039777

Leslie a Stanbury, MS

Practitioner Addiction (Substance Use Disorder) Counselor Glen Burnie, MD

Practice location

Address: 122 Langley Road North Suite B, Glen Burnie, MD 21060
Phone: (410) 222-0100
Fax: (410) 222-0116

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence AC0066 (MD)

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Registry record

NPI: 1003039777
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.