Individual
MS. BETH LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
176 MOUNTAIN AVE STE 2B, HACKETTSTOWN, NJ 07840-2434
(908) 850-1400
(908) 852-1402
Mailing address
261 BLACK RIVER RD, LONG VALLEY, NJ 07853-3067
(646) 691-7482
(908) 852-1402
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
004528
NY
171100000X
Acupuncturist
Primary
25MZ00091300
NJ
Other
Enumeration date
04/01/2011
Last updated
10/20/2021
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