Individual
MRS. ANTONINA LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
84 UNIVERSITY HEIGHTS DR, STONY BROOK, NY 11790-2735
(631) 325-0800
(631) 325-1066
Mailing address
84 UNIVERSITY HEIGHTS DR, STONY BROOK, NY 11790-2735
(631) 325-0800
(631) 325-1066
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
074077-1
NY
1041S0200X
School Social Worker
6649118
NY
Other
Enumeration date
10/28/2010
Last updated
10/26/2020
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