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Individual

ADRIANNE VYASULU LEONHARDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
3230 ARDEN CIR, MELBOURNE, FL 32934-8772
(954) 261-6143
Mailing address
3230 ARDEN CIR, MELBOURNE, FL 32934-8772
(954) 261-6143

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
FL
1041C0700X
Clinical Social Worker
15350
FL

Other

Enumeration date
04/15/2019
Last updated
09/24/2020
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