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Individual
LEANN RENEE ZOUBERI
Active
Individual
LEANN RENEE ZOUBERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
SW131078
PA
1041C0700X
Clinical Social Worker
Primary
10757
CT
1041C0700X
Clinical Social Worker
CW019835
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10757
DEPARTMENT OF PUBLIC HEALTH SW LICENSING
CT
Enumeration date
08/17/2017
Last updated
12/02/2019
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