Organization
KERRY LEAVITT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN KERRY SUE LEAVITT LCSW (OWNER)
(434) 296-9740
Entity
Organization
Contact information
Practice address
175 S PANTOPS DR, CHARLOTTESVILLE, VA 22911-8671
(434) 296-9740
Mailing address
175 S PANTOPS DR, CHARLOTTESVILLE, VA 22911-8671
(434) 296-9740
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004341
VA
Other
Enumeration date
04/18/2009
Last updated
04/18/2009
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