Individual
MARY LEAHEY-BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2517 HIGHWAY 35, BUILDING H, STE 205, MANASQUAN, NJ 08736-1918
(908) 902-3161
Mailing address
408 LESLIE AVE, BRIELLE, NJ 08730-2026
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00466100
NJ
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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