Individual
JOANNE E LEATHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
790 NEW HOLLAND AVE, LANCASTER, PA 17602-2137
(717) 390-0353
(717) 390-1812
Mailing address
320 HIGHLAND DR, MOUNTVILLE, PA 17554-1232
(717) 285-7121
(717) 285-5302
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CW002073L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50053206
CAPITAL BLUE CROSS
PA
01
—
677790H6X
MASONIC HOMES HEALTH CARE
PA
01
—
800012760
HC GROUP RAILROAD MEDICAR
PA
Enumeration date
12/26/2006
Last updated
12/28/2010
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