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NPI 1568314987

NPI 1568314987 : MRS. LETICIA D LITZENBERGER : GERMANTOWN, MD

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General NPI Number Information
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    NPI Number           |    1568314987
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. LETICIA D LITZENBERGER
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/10/2026
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    Last Update Date     |    02/10/2026
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Provider Practice Location Address
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    Address Line         |    20528 BOLAND FARM RD 
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    City                 |    GERMANTOWN
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    State                |    MD
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    Zip                  |    20876-4021
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    Country              |    US
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    Telephone            |    401-829-2654
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8020 AVIS MILL RD 
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    City                 |    WILLIAMSPORT
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    State                |    MD
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    Zip                  |    21795-2007
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    Country              |    US
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    Telephone            |    401-829-2654
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LGM1155
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    License Number State |    MD
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