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Individual

LEIA WOODRUFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
21 HIGH GATE DR, EAST SETAUKET, NY 11733-1877
(631) 730-4223
Mailing address
44 N COUNTRY RD, MOUNT SINAI, NY 11766-1504

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
08228-1
NY

Other

Enumeration date
12/21/2011
Last updated
12/21/2011
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