Organization
GIA LEO, LCSW, LCADC, LLC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GIA LEO LCSW, LCADC (OWNER)
(862) 268-3101
Entity
Organization
Contact information
Practice address
25 MAIN ST, SPARTA, NJ 07871-1937
(862) 268-3101
Mailing address
25 MAIN ST, SPARTA, NJ 07871-1937
(862) 268-3101
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05542900
NJ
Other
Enumeration date
11/19/2017
Last updated
08/14/2020
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