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Individual
DR. LESLIE SPIVAK
Active
Individual
DR. LESLIE SPIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
R037378-1
NY
Other
Enumeration date
04/22/2007
Last updated
12/28/2015
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