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NPI Code Detail

MEDICARE: MRS. LEAH RICHELE MILTENBERGER LCSW-C

MEDICARE: MRS. LEAH RICHELE MILTENBERGER LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker18999MD

General Provider Information

NPI Number : 1821525148
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEAH RICHELE MILTENBERGER LCSW-C
Provider Business Mailing Address
First Line : 200 GLENN ST STE 302
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-2583
Country : US
Telephone Number : 240-580-1919
Fax Number :
Provider Business Practice Location Address
First Line : 200 GLENN ST STE 302
Second Line :
City : CUMBERLAND
State : MD
Zip : 21502-2583
Country : US
Telephone Number : 240-580-1919
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2017
Last Update Date : 05/17/2017

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