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Individual
MRS. LINDA L LEAVENS
Active
Individual
MRS. LINDA L LEAVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LCSW, CASAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16940
NY
104100000X
Social Worker
068145-1
NY
1041C0700X
Clinical Social Worker
Primary
080134-1
NY
163W00000X
Registered Nurse
362081-1
NY
Other
Enumeration date
03/06/2012
Last updated
11/30/2012
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