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Individual
LEIGH E VAZQUEZ
Active
Individual
LEIGH E VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
076054
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00355940
—
NY
01
—
1285628552
AGENCY NPI
NY
01
—
WVE061
MEDICARE
NY
Enumeration date
03/18/2011
Last updated
03/18/2011
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