Individual
CHRISTINE LEAVITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5000
Mailing address
113 HOLLAND AVE, ALBANY, NY 12208-3410
(518) 626-5000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
097042-1
NY
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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