Individual
BENJAMIN LEAVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
10360 DRUMMOND RD, PHILADELPHIA, PA 19154-3815
(215) 632-6400
Mailing address
2029 MONTROSE ST, APT 102, PHILADELPHIA, PA 19146-2646
(856) 904-1463
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SW132402
PA
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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