Individual
ELISHA J ELLIOTT LEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3897 ADLER PL, SUITE 130, BLDG C, BETHLEHEM, PA 18017-9425
(484) 895-3720
(484) 895-3723
Mailing address
320 HIGHLAND DR, MOUNTVILLE, PA 17554-1232
(717) 285-7121
(717) 285-5302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW015817
PA
Other
Enumeration date
09/08/2009
Last updated
04/27/2020
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