Individual
LUCILLE MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1300 PARK WEST BLVD UNIT 108, MT PLEASANT, SC 29466-7029
(914) 299-1935
Mailing address
1300 PARK WEST BLVD UNIT 108, MT PLEASANT, SC 29466-7029
(914) 299-1935
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
073155
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
073155
PRIVATE
NY
Enumeration date
07/26/2021
Last updated
07/26/2021
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