Most Relevant Information
Provider Data
| NPI Number: | 1003039777 |
| Provider Name: | LESLIE A STANBURY MS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | AC0066 |
Most Important Dates
| Enumeration Date: | 04/11/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
122 LANGLEY ROAD NORTH
SUITE B
GLEN BURNIE
MD
21060
Practice Location Phone/Fax
| Phone: | 4102220100 |
| Fax: | 4102220116 |
Provider Mailing Location
122 LANGLEY ROAD NORTH
SUITE B
GLEN BURNIE
MD
21060
Provider Mailing Phone/Fax
| Phone: | 4102220100 |
| Fax: | 4102220116 |