Dalencour, Leslie

Dalencour, Leslie is an individual health care provider with primary practice located at 3739 Wilkens Ave , Baltimore MD 21229-5035. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Dalencour, Leslie can be contacted via phone (410) 621-9261.

Contact Information

Primary practice address
3739 Wilkens Ave Baltimore MD 21229-5035
Phone: (410) 621-9261
Fax: (410) 514-3596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC6559 Maryland

Profile Details

NPI number 1205178050
LBN Legal business name Dalencour, Leslie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2013
Last updated Sep 22nd, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205178050 NPPES
Maryland MEDICAID 589561800

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