Individual
GEANNINE LEBUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSS
Contact information
Practice address
58 S MAPLE AVE, MARLTON, NJ 08053-2002
(856) 874-9200
Mailing address
PO BOX 1463, BURLINGTON, NJ 08016-7063
(856) 874-9200
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
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