Individual
ASHLEY RAYNE LEEDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
114 KINDERKAMACK RD, PARK RIDGE, NJ 07656-2126
(201) 391-1355
Mailing address
297 DURIE AVE, CLOSTER, NJ 07624-2430
(201) 321-8319
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SL06667100
NJ
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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