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Organization
LESLIE GLASS & ASSOCIATES LLC
Active
Organization
LESLIE GLASS & ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE CAROL GLASS LCSW (OWNER, PSYCHOTHERAPIST)
(267) 977-7316
Entity
Organization
Contact information
Practice address
1315 WALNUT ST, SUITE 1323, PHILADELPHIA, PA 19107-4719
(267) 977-7316
Mailing address
1315 WALNUT ST, SUITE 1323, PHILADELPHIA, PA 19107-4719
(267) 977-7316
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015845
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679752240
INDIVIDUAL NPI
PA
Enumeration date
08/07/2012
Last updated
08/07/2012
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