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Individual

SUSAN LEIDEMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1 DEMERCURIO DRIVE SUITE 2, ALLENDALE, NJ 07401
(551) 233-2310
(201) 571-6177
Mailing address
22 OTTAWA AVE, HASBROUCK HEIGHTS, NJ 07604-1409
(201) 390-2209

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00352100
NJ

Other

Enumeration date
08/02/2012
Last updated
07/21/2022
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