Individual
GEANNINE LEBUDE
Active
Individual
GEANNINE LEBUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSS
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC04328700
NJ
1041C0700X
Clinical Social Worker
CWO18119
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2321857000
IBC
PA
01
—
537963000
KEYSTONE
PA
01
—
7553455
AETNA
PA
Enumeration date
09/02/2006
Last updated
11/22/2024
Update your record
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