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Individual

CAITLIN BETH LEITNER-FLYNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
445 MARSHALL ST, PHILLIPSBURG, NJ 08865-2695
(908) 399-5042
Mailing address
93 MOUNTAIN LAKE RD, BELVIDERE, NJ 07823-2542
(908) 399-5042

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
44SC05563300
NJ
101YM0800X
Mental Health Counselor
47-3221505
NJ
104100000X
Social Worker
Primary
44SL05713800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
44SC05563300
LCSW
NJ
01
44SL05713800
SOCIAL WORK EXAMINERS - LICENSED SOCIAL WORKER
NJ
Enumeration date
09/08/2011
Last updated
10/13/2015
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