Individual
ALEXANDER LELJEDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
100 WASHINGTON ST, ELMIRA, NY 14901-2849
(607) 737-4711
Mailing address
418 N MAIN ST, PENN YAN, NY 14527-1070
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
098876
NY
Other
Enumeration date
01/07/2022
Last updated
01/17/2025
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