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NPI Code Detail

MEDICARE: MRS. PATRICIA ANN LEAHEY MSW, LCSW

MEDICARE: MRS. PATRICIA ANN LEAHEY MSW, LCSW
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 WorkerSC13001NJ

General Provider Information

NPI Number : 1386738011
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PATRICIA ANN LEAHEY MSW, LCSW
Provider Business Mailing Address
First Line : 32 KNIGHTSBRIDGE PL
Second Line :
City : JACKSON
State : NJ
Zip : 08527-1273
Country : US
Telephone Number : 732-886-7075
Fax Number : 732-886-7076
Provider Business Practice Location Address
First Line : 2290 W COUNTY LINE RD
Second Line : SUITE 209
City : JACKSON
State : NJ
Zip : 08527-2267
Country : US
Telephone Number : 732-886-7075
Fax Number : 732-886-7076
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 07/09/2007

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