Provider Demographics
NPI:1073928115
Name:LEON, MARGARET K (MSED)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:K
Last Name:LEON
Suffix:
Gender:F
Credentials:MSED
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:KMACK
Other - Last Name:MARCUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSED
Mailing Address - Street 1:430 MAPLE STREET
Mailing Address - Street 2:SUITE 4D
Mailing Address - City:MARLBORO
Mailing Address - State:MA
Mailing Address - Zip Code:01752-4727
Mailing Address - Country:US
Mailing Address - Phone:978-829-2260
Mailing Address - Fax:
Practice Address - Street 1:430 MAPLE STREET
Practice Address - Street 2:SUITE 410
Practice Address - City:MARLBORO
Practice Address - State:MA
Practice Address - Zip Code:01752-4727
Practice Address - Country:US
Practice Address - Phone:978-829-2260
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-27
Last Update Date:2016-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical