Individual
MOLLY ELIZABETH LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
272 BROAD ST, RED BANK, NJ 07701-2044
(732) 747-7665
Mailing address
10 LAWRENCE DR, BRICK, NJ 08724-4371
(732) 581-7255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL06200600
NJ
Other
Enumeration date
11/08/2016
Last updated
02/26/2019
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