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Individual

MS. ANNETTE SUSAN LEAVY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCSW,MSW

Contact information

Practice address
115 N LAMBERT ST, PHILADELPHIA, PA 19103-1106
(215) 636-0550
(215) 636-0770
Mailing address
115 N LAMBERT ST, PHILADELPHIA, PA 19103-1106
(215) 636-0550
(215) 636-0770

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
01/30/2008
Last updated
01/30/2008
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