Individual
LEIGH ANN STAGLIANO TEDESCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
88 PARK ST, MONTCLAIR, NJ 07042-5915
(973) 857-6157
(973) 857-6157
Mailing address
88 PARK ST, MONTCLAIR, NJ 07042-5915
(973) 857-6157
(973) 857-6157
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SC00215500
NJ
Other
Enumeration date
03/14/2006
Last updated
07/08/2007
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