Individual
LEAH TELLIARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
3975 CONSHOHOCKEN AVE, PHILADELPHIA, PA 19131
(215) 879-1000
(215) 879-8424
Mailing address
201 S 25TH ST, APT 504, PHILADELPHIA, PA 19103-6002
(856) 834-9194
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW127885
PA
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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