Individual
KATHLEEN MARY LEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
514 MORRISTOWN RD, MATAWAN, NJ 07747-3580
(732) 583-2135
Mailing address
514 MORRISTOWN RD, MATAWAN, NJ 07747-3580
(732) 583-2135
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
NJ
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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