Individual
ERIC LEADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
57 BOBCAT WAY, MANCHESTER, NH 03109-5143
(540) 419-2324
Mailing address
57 BOBCAT WAY, MANCHESTER, NH 03109-5143
(540) 419-2324
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
128386
MA
Other
Enumeration date
05/30/2023
Last updated
08/28/2024
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