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Organization

MICHELLE LESHER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE LESHER LCSW (LICENSED CLINICAL SOCIAL WORKER)
(862) 686-3186
Entity
Organization

Contact information

Practice address
145 MAIN AVE, PASSAIC, NJ 07055-5452
(862) 686-3186
Mailing address
22 LEITCH PL, PASSAIC, NJ 07055-4411

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00163000
NJ
101YP2500X
Professional Counselor
44SC05505200
NJ

Other

Enumeration date
04/03/2014
Last updated
04/03/2014
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