Individual
MR. JACK L LESHNOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSW
Contact information
Practice address
1 COOPER PLZ, EMERGENCY DEPARTMENT, CAMDEN, NJ 08103-1461
(856) 685-9007
Mailing address
1 COOPER PLZ, EMERGENCY DEPARTMENT, CAMDEN, NJ 08103-1461
(856) 685-9007
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SW05156100
NJ
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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