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Individual
TAHL ALEXANDER LEIBOVITZ
Active
Individual
TAHL ALEXANDER LEIBOVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
091688
NY
1041C0700X
Clinical Social Worker
091688
—
Other
Enumeration date
03/17/2017
Last updated
10/07/2021
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