Individual
MS. LEILA RENEE GRUBBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LMSW
Contact information
Practice address
140 CHANCELLOR AVENUE, 1B, NEWARK, NJ 07112
Mailing address
140 CHANCELLOR AVE APT B1, NEWARK, NJ 07112-1985
(929) 235-0230
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
106545-1
NY
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
106545-1
NY
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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