Individual
JUDYTH A LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, MLADC
Contact information
Practice address
172 MARCY HILL RD, SWANZEY, NH 03446-2108
(603) 448-2705
Mailing address
172 MARCY HILL RD, SWANZEY, NH 03446-2108
(603) 448-2705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0631
NH
1041C0700X
Clinical Social Worker
Primary
1514
NH
Other
Enumeration date
07/17/2010
Last updated
07/17/2010
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