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Individual

LESLIE ANNE ELIZABETH HANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
225 E CITY AVE STE 12, BALA CYNWYD, PA 19004-1724
(267) 314-3414
Mailing address
132 E STATE ST, MEDIA, PA 19063-3431
(484) 947-7147

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/15/2017
Last updated
03/17/2018
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