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Individual
MR. LEONID NEWHOUSE
Active
Individual
MR. LEONID NEWHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1022200
MA
174400000X
Specialist
1022200
MA
Other
Enumeration date
01/14/2008
Last updated
09/17/2020
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