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NPI Code Detail

MEDICARE: LESLIE ANN LOBEL JUBA CSW

MEDICARE:   LESLIE ANN LOBEL JUBA  CSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerSW11881FL

General Provider Information

NPI Number : 1184160046
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE ANN LOBEL JUBA CSW
Provider Business Mailing Address
First Line : PO BOX 748465
Second Line :
City : ATLANTA
State : GA
Zip : 30374-8465
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2924 DAVIE RD STE 103
Second Line :
City : DAVIE
State : FL
Zip : 33314-1615
Country : US
Telephone Number : 855-284-7483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2017
Last Update Date : 01/20/2023

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Directions to “ LESLIE ANN LOBEL JUBA CSW” Practice Location

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