Individual
LINDA LEATHERWOOD FORAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
96 BANNISTER LN, LAWRENCE, NY 11559-2103
(917) 868-8152
Mailing address
96 BANNISTER LN, LAWRENCE, NY 11559-2103
(917) 868-8152
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001180
NY
Other
Enumeration date
02/01/2023
Last updated
02/01/2023
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